TICONNA D PURDLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INACTIVE

Business

First Name

TICONNA

Middle

Last Name

PURDLE

Business Name

TICONNA D PURDLE

Original Issue Date

03/27/2013

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60620

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2018