KATELYN JOANNE STITES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

KATELYN

Middle

JOANNE

Last Name

STITES

Business Name

KATELYN JOANNE STITES

Original Issue Date

03/04/2019

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

MINONK

State

Zip

61760

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026