THERESA A HEFFERNAN 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

THERESA

Middle

Last Name

HEFFERNAN

Business Name

THERESA A HEFFERNAN

Original Issue Date

08/22/2017

Effective Date

05/15/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021