THOMAS L BERRY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

THOMAS L

Last Name

BERRY

Business Name

THOMAS L BERRY

Original Issue Date

11/02/2005

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

HOMEWOOD

State

Zip

60430

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021