NANCY TAYLOR BRASIC Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

TAYLOR

Last Name

BRASIC

Business Name

NANCY TAYLOR BRASIC

Original Issue Date

09/26/2014

Effective Date

06/05/2018

Expiration Date

09/30/2020

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021