DAWN M MOTTLOW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INACTIVE

Business

First Name

DAWN

Middle

Last Name

MOTTLOW

Business Name

DAWN M MOTTLOW

Original Issue Date

12/16/2002

Effective Date

06/16/2022

Expiration Date

06/30/2024

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024