ADAM SPURLOCK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

ADAM

Last Name

SPURLOCK

Business Name

ADAM SPURLOCK

Original Issue Date

08/03/2016

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60304

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018