MARY KATHLEEN SKAFIDAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

MARY

Middle

KATHLEEN

Last Name

SKAFIDAS

Business Name

MARY KATHLEEN SKAFIDAS

Original Issue Date

07/14/2022

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026