EUGENIA GAMBURG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

EUGENIA

Last Name

GAMBURG

Business Name

EUGENIA GAMBURG

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

05/31/2006

City

WHEELING

State

Zip

60090

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006