MARY C HEWITT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

HEWITT

Business Name

MARY C HEWITT

Original Issue Date

02/22/2017

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

01/14/2021