BRYAN A FILL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011835

License Status

INACTIVE

Business

First Name

BRYAN

Middle

Last Name

FILL

Business Name

BRYAN A FILL

Original Issue Date

09/10/2014

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

06/23/2020