CECELIA B BACOM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

ACTIVE

Business

First Name

CECELIA

Middle

Last Name

BACOM

Business Name

CECELIA B BACOM

Original Issue Date

01/31/2002

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026