ANDREA C BUNDY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

INACTIVE

Business

First Name

ANDREA

Middle

Last Name

BUNDY

Business Name

ANDREA C BUNDY

Original Issue Date

02/21/2017

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018