JENNIFER MARY BACH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARY

Last Name

BACH

Business Name

JENNIFER MARY BACH

Original Issue Date

11/03/2006

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010