KATHLEEN ELLEN AMBLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ELLEN

Last Name

AMBLER

Business Name

KATHLEEN ELLEN AMBLER

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

05/31/2004

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/09/2006