LENA M BEALE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

NOT RENEWED

Business

First Name

LENA

Middle

Last Name

BEALE

Business Name

LENA M BEALE

Original Issue Date

11/07/2019

Effective Date

11/07/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021