KATHLEEN ANNE SUPERT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201784

License Status

INACTIVE

Business

First Name

KATHLEEN ANNE

Last Name

SUPERT

Business Name

KATHLEEN ANNE SUPERT

Original Issue Date

05/19/1981

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/08/2020