NAPHAPHONE K KETHDY 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

NAPHAPHONE

Middle

Last Name

KETHDY

Business Name

NAPHAPHONE K KETHDY

Original Issue Date

10/15/2025

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026