BARBARA M SUPLIT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INACTIVE

Business

First Name

BARBARA

Middle

Last Name

SUPLIT

Business Name

BARBARA M SUPLIT

Original Issue Date

11/21/2002

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

06/16/2020