CARLY J KURTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

KURTH

Business Name

CARLY J KURTH

Original Issue Date

12/20/2021

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025