JEANNE E FRAZEL 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

JEANNE

Middle

Last Name

FRAZEL

Business Name

JEANNE E FRAZEL

Original Issue Date

11/01/2005

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021