SARAH R NUSSBAUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

ACTIVE

Business

First Name

SARAH

Middle

Last Name

NUSSBAUM

Business Name

SARAH R NUSSBAUM

Original Issue Date

12/09/2022

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/02/2026