PATRICIA R MONTGOMERY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

MONTGOMERY

Business Name

PATRICIA R MONTGOMERY

Original Issue Date

12/19/2011

Effective Date

06/26/2022

Expiration Date

06/30/2024

City

EVANSVILLE

State

Zip

47725

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025