KATHERINE M BLOODWORTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

BLOODWORTH

Business Name

KATHERINE M BLOODWORTH

Original Issue Date

08/08/2016

Effective Date

05/20/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021