MARY M BRUSH 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

MARY

Middle

Last Name

BRUSH

Business Name

MARY M BRUSH

Original Issue Date

06/26/2001

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

LEMONT

State

Zip

60439

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021