KATHLEEN WHALEN SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

KATHLEEN WHALEN

Last Name

SMITH

Business Name

KATHLEEN WHALEN SMITH

Original Issue Date

11/26/2014

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026