PATRICIA LEE COLLEDGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

LEE

Last Name

COLLEDGE

Business Name

PATRICIA LEE COLLEDGE

Original Issue Date

07/19/2001

Effective Date

07/07/2020

Expiration Date

08/31/2022

City

WARRENVILLE

State

Zip

60190

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022