ALAN ANTHONY AMBERG - Advanced Practice Nurse License in Illinois | # 209011029

ALAN ANTHONY AMBERG

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011029

License Status

INACTIVE

Business

N

First Name

ALAN

Middle

ANTHONY

Last Name

AMBERG

Business Name

ALAN ANTHONY AMBERG

Original Issue Date

11/20/2013

Effective Date

03/13/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/12/2018