JULIE D PORTER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

INOPERATIVE

Business

First Name

JULIE D

Last Name

PORTER

Business Name

JULIE D PORTER

Original Issue Date

03/16/2016

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026