BEN REMOR E INVENTOR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

BEN REMOR E

Last Name

INVENTOR

Business Name

BEN REMOR E INVENTOR

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

05/31/2006

City

LAGRANGE

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006