GERMAINE M HENDERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

INACTIVE

Business

First Name

GERMAINE

Middle

Last Name

HENDERSON

Business Name

GERMAINE M HENDERSON

Original Issue Date

03/15/2019

Effective Date

03/15/2019

Expiration Date

09/30/2020

City

TINLEY PARK

State

Zip

60477

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2019