KATLIN E CHEATHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

KATLIN

Middle

Last Name

CHEATHAM

Business Name

KATLIN E CHEATHAM

Original Issue Date

04/10/2023

Effective Date

04/10/2023

Expiration Date

06/30/2024

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025