RETTA C PERKINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

INACTIVE

Business

First Name

RETTA

Middle

Last Name

PERKINS

Business Name

RETTA C PERKINS

Original Issue Date

08/15/2019

Effective Date

05/13/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2022