MARY KATHLEEN LAIRD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

MARY

Middle

KATHLEEN

Last Name

LAIRD

Business Name

MARY KATHLEEN LAIRD

Original Issue Date

02/25/2022

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/24/2024