STACY W ATKINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

STACY W

Last Name

ATKINS

Business Name

STACY W ATKINS

Original Issue Date

01/16/2015

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018