KEITHA F DAVIS 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

KEITHA

Middle

Last Name

DAVIS

Business Name

KEITHA F DAVIS

Original Issue Date

02/28/2018

Effective Date

05/26/2020

Expiration Date

05/31/2022

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

05/26/2020