VALERIE L STOUT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

Last Name

STOUT

Business Name

VALERIE L STOUT

Original Issue Date

03/19/2013

Effective Date

05/12/2020

Expiration Date

08/31/2022

City

SUMMIT

State

Zip

60501

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022