MARY GRACE FAIR Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

INOPERATIVE

Business

First Name

MARY

Middle

GRACE

Last Name

FAIR

Business Name

MARY GRACE FAIR

Original Issue Date

12/13/2023

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026