BIANCA M RAY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

INACTIVE

Business

First Name

BIANCA

Middle

Last Name

RAY

Business Name

BIANCA M RAY

Original Issue Date

08/26/2021

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

GLENWOOD

State

Zip

60425

County

COOK

Delegated Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

11/13/2024