AMY K O'BRIEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

O'BRIEN

Business Name

AMY K O'BRIEN

Original Issue Date

08/13/2015

Effective Date

03/17/2020

Expiration Date

08/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2022