KEEMA PETRIA BOLAND -BRYANT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

KEEMA

Middle

PETRIA

Last Name

BOLAND -BRYANT

Business Name

KEEMA PETRIA BOLAND -BRYANT

Original Issue Date

10/12/2023

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026