KATY JO NORTHCUTT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

First Name

KATY

Middle

Last Name

NORTHCUTT

Business Name

KATY JO NORTHCUTT

Original Issue Date

03/14/2019

Effective Date

03/14/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021