KATHRYN D ERICKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

NOT RENEWED

Business

First Name

KATHRYN D

Last Name

ERICKSON

Business Name

KATHRYN D ERICKSON

Original Issue Date

08/14/2003

Effective Date

07/28/2022

Expiration Date

06/30/2024

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025