BRIAN M WILLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

WILLIS

Business Name

BRIAN M WILLIS

Original Issue Date

11/16/2023

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

SCHAUMBURG

State

Zip

60173

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026