KINA LYNETTE MONTGOMERY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INACTIVE

Business

First Name

KINA

Middle

LYNETTE

Last Name

MONTGOMERY

Business Name

KINA LYNETTE MONTGOMERY

Original Issue Date

08/25/2017

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60707

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/22/2018