VIDA M BARTASIUS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

INACTIVE

Business

First Name

VIDA M

Last Name

BARTASIUS

Business Name

VIDA M BARTASIUS

Original Issue Date

08/11/2010

Effective Date

04/06/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60655

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/07/2022