GRANT ERICH BERQUIST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026753

License Status

ACTIVE

Business

First Name

GRANT

Middle

ERICH

Last Name

BERQUIST

Business Name

GRANT ERICH BERQUIST

Original Issue Date

01/26/2023

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

OAKLAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026