KATHRYN LEEDS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

KATHRYN

Last Name

LEEDS

Business Name

KATHRYN LEEDS

Original Issue Date

08/19/2021

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026