HEIDI L BRADLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

BRADLEY

Business Name

HEIDI L BRADLEY

Original Issue Date

09/12/2016

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021