HEATHER FAITH SKUBLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

FAITH

Last Name

SKUBLE

Business Name

HEATHER FAITH SKUBLE

Original Issue Date

04/03/2019

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021