MARY H KENNEDY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

KENNEDY

Business Name

MARY H KENNEDY

Original Issue Date

08/01/2001

Effective Date

05/26/2020

Expiration Date

08/31/2022

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022