KENNETH DALE M RESTOR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

INACTIVE

Business

First Name

KENNETH DALE

Middle

Last Name

RESTOR

Business Name

KENNETH DALE M RESTOR

Original Issue Date

03/03/2020

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2024