ROSS J PHILLIPS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

ROSS

Middle

Last Name

PHILLIPS

Business Name

ROSS J PHILLIPS

Original Issue Date

11/04/2020

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025