JASON R IMMERTREU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

IMMERTREU

Business Name

JASON R IMMERTREU

Original Issue Date

08/21/2015

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60618

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021