SANDRA K PFANTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

SANDRA K

Last Name

PFANTZ

Business Name

SANDRA K PFANTZ

Original Issue Date

12/05/2001

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021