ANGELA M DAVIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

DAVIS

Business Name

ANGELA M DAVIS

Original Issue Date

12/14/2017

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021