KIONIE T ABRAHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

NOT RENEWED

Business

First Name

KIONIE

Middle

Last Name

ABRAHAM

Business Name

KIONIE T ABRAHAM

Original Issue Date

05/09/2018

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021