KATHY G SUPPLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

INACTIVE

Business

First Name

KATHY G

Last Name

SUPPLE

Business Name

KATHY G SUPPLE

Original Issue Date

04/28/2006

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

04/30/2018