WENDY M BINGHAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

WENDY

Middle

Last Name

BINGHAM

Business Name

WENDY M BINGHAM

Original Issue Date

01/24/2013

Effective Date

09/16/2020

Expiration Date

05/31/2022

City

PLAINFIELD

State

Zip

60586

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2020