ANNIE CHAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

INACTIVE

Business

First Name

ANNIE

Last Name

CHAN

Business Name

ANNIE CHAN

Original Issue Date

05/21/2020

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023