KAREN J FAGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

Last Name

FAGAN

Business Name

KAREN J FAGAN

Original Issue Date

09/20/2017

Effective Date

06/21/2022

Expiration Date

06/30/2024

City

LOCKPORT

State

Zip

60441

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025