KATHERINE L DORWALDT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

Last Name

DORWALDT

Business Name

KATHERINE L DORWALDT

Original Issue Date

05/22/2023

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026