GERALDINE FRANCES DUGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

GERALDINE

Middle

FRANCES

Last Name

DUGAN

Business Name

GERALDINE FRANCES DUGAN

Original Issue Date

01/13/2017

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

GLENDALE

State

Zip

91204

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021