MARILYN BORKGREN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

NOT RENEWED

Business

First Name

MARILYN

Last Name

BORKGREN

Business Name

MARILYN BORKGREN

Original Issue Date

06/08/2016

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

PALATINE

State

Zip

60067

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021