GLENN A WOUDENBERG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003349

License Status

NOT RENEWED

Business

First Name

GLENN A

Last Name

WOUDENBERG

Business Name

GLENN A WOUDENBERG

Original Issue Date

07/25/2001

Effective Date

09/10/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022