KATHRYN M HERRICKS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

HERRICKS

Business Name

KATHRYN M HERRICKS

Original Issue Date

03/05/2012

Effective Date

05/12/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022