AMY B PAWASARAT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

AMY B

Last Name

PAWASARAT

Business Name

AMY B PAWASARAT

Original Issue Date

08/27/2001

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026