TRICIA H WARD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

INACTIVE

Business

First Name

TRICIA

Middle

Last Name

WARD

Business Name

TRICIA H WARD

Original Issue Date

03/07/2016

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2018