TERESA J TRUSSELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

TRUSSELL

Business Name

TERESA J TRUSSELL

Original Issue Date

08/28/2015

Effective Date

05/26/2020

Expiration Date

08/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022