RACHEL ANNE BREIVALD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

RACHEL

Middle

ANNE

Last Name

BREIVALD

Business Name

RACHEL ANNE BREIVALD

Original Issue Date

02/19/2020

Effective Date

05/28/2020

Expiration Date

08/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022