MARY F PREWITT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

PREWITT

Business Name

MARY F PREWITT

Original Issue Date

04/12/2013

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018