KATHERINE ANN BREITENBACH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

ANN

Last Name

BREITENBACH

Business Name

KATHERINE ANN BREITENBACH

Original Issue Date

12/19/2011

Effective Date

03/27/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016