AMY LYNN FORWARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

FORWARD

Business Name

AMY LYNN FORWARD

Original Issue Date

08/13/2015

Effective Date

04/22/2016

Expiration Date

05/31/2018

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018