SHERRY A BURNAM 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

SHERRY A

Last Name

BURNAM

Business Name

SHERRY A BURNAM

Original Issue Date

10/19/2001

Effective Date

05/05/2020

Expiration Date

08/31/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022