KENYATTA T EVANS-SNULLIGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

KENYATTA T

Last Name

EVANS-SNULLIGAN

Business Name

KENYATTA T EVANS-SNULLIGAN

Original Issue Date

09/20/2019

Effective Date

09/20/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60666

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021