MARY C KEANE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

KEANE

Business Name

MARY C KEANE

Original Issue Date

08/04/2015

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PLAINFIELD

State

Zip

60585

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026