CAROL DANIELS PORTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

INACTIVE

Business

First Name

CAROL DANIELS

Last Name

PORTER

Business Name

CAROL DANIELS PORTER

Original Issue Date

07/19/2018

Effective Date

06/12/2020

Expiration Date

08/31/2022

City

GREEN OAKS

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2022