STEPHANIE K WIEGERT Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

Last Name

WIEGERT

Business Name

STEPHANIE K WIEGERT

Original Issue Date

04/01/2020

Effective Date

04/01/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2020