SALLY ELLEN BIRGER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

ELLEN

Last Name

BIRGER

Business Name

SALLY ELLEN BIRGER

Original Issue Date

02/02/2010

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

NILES

State

Zip

60714

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022