PHILLIP O CARR Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INOPERATIVE

Business

First Name

PHILLIP

Middle

Last Name

CARR

Business Name

PHILLIP O CARR

BusinessDBA

CARR, PHILLIP

Original Issue Date

03/26/2022

Effective Date

03/26/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2024