SARAH B MATHIAS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

INOPERATIVE

Business

First Name

SARAH

Middle

Last Name

MATHIAS

Business Name

SARAH B MATHIAS

Original Issue Date

06/01/2022

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

WILMETTE

State

Zip

60091

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2024