TREVOR JAMES BARNUM 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

TREVOR

Middle

JAMES

Last Name

BARNUM

Business Name

TREVOR JAMES BARNUM

Original Issue Date

09/17/2019

Effective Date

05/27/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2022