PHILOMINA KALATHIL AUGUSTINE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

PHILOMINA

Middle

KALATHIL

Last Name

AUGUSTINE

Business Name

PHILOMINA KALATHIL AUGUSTINE

Original Issue Date

03/22/2017

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026