BLAIR R FOUSHI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

BLAIR

Middle

Last Name

FOUSHI

Business Name

BLAIR R FOUSHI

Original Issue Date

10/27/2015

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60637

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2026