VIRGINIA L SY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

VIRGINIA L

Last Name

Business Name

VIRGINIA L SY

Original Issue Date

08/27/2015

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021