MARY M KRONENBURGER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

KRONENBURGER

Business Name

MARY M KRONENBURGER

Original Issue Date

03/03/2004

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2022