KATHARINE M MCNELLY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

KATHARINE

Middle

Last Name

MCNELLY

Business Name

KATHARINE M MCNELLY

Original Issue Date

04/28/2016

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021