KATIE M STEPHENS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

INACTIVE

Business

First Name

KATIE

Middle

Last Name

STEPHENS

Business Name

KATIE M STEPHENS

Original Issue Date

11/27/2017

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024