RACHEL ANNE BREIVALD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006270

License Status

INACTIVE

Business

First Name

RACHEL

Middle

ANNE

Last Name

BREIVALD

Business Name

RACHEL ANNE BREIVALD

Original Issue Date

10/19/2006

Effective Date

05/28/2020

Expiration Date

08/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

06/14/2022