MARLA JEAN BAGGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

MARLA JEAN

Last Name

BAGGE

Business Name

MARLA JEAN BAGGE

Original Issue Date

09/18/2001

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

SAVANNA

State

Zip

61074

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021