NATHAN TYLER EDWARDS 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

NATHAN

Middle

TYLER

Last Name

EDWARDS

Business Name

NATHAN TYLER EDWARDS

Original Issue Date

02/21/2019

Effective Date

02/21/2019

Expiration Date

09/30/2020

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021