MICHAEL V ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

ANDERSON

Business Name

MICHAEL V ANDERSON

Original Issue Date

07/15/2023

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SKOKIE

State

Zip

60077

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026