CRYSTAL ANDERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Last Name

ANDERSON

Business Name

CRYSTAL ANDERSON

Original Issue Date

08/21/2017

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025