XUANTAN CHEN 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

XUANTAN

Last Name

CHEN

Business Name

XUANTAN CHEN

Original Issue Date

01/31/2017

Effective Date

04/30/2019

Expiration Date

09/30/2020

City

OAKBROOK TERRACE

State

Zip

60181

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021