KATHLEEN P MEDICI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MEDICI

Business Name

KATHLEEN P MEDICI

Original Issue Date

08/18/2020

Effective Date

08/18/2020

Expiration Date

08/31/2022

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022