FAITH C HARRIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

FAITH

Middle

Last Name

HARRIS

Business Name

FAITH C HARRIS

Original Issue Date

05/19/2011

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021