KATRINA L GALLAGHER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

KATRINA

Middle

Last Name

GALLAGHER

Business Name

KATRINA L GALLAGHER

Original Issue Date

01/05/2004

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2018