DEBORAH A PRUIM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

DEBORAH

Middle

Last Name

PRUIM

Business Name

DEBORAH A PRUIM

Original Issue Date

03/19/2007

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

CRESTWOOD

State

Zip

60418

County

COOK

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/02/2026