KATHLEEN F SCHLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

Last Name

SCHLACK

Business Name

KATHLEEN F SCHLACK

Original Issue Date

01/06/2012

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026