AUTUMN L HENZE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

AUTUMN

Middle

Last Name

HENZE

Business Name

AUTUMN L HENZE

Original Issue Date

03/02/2021

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2025