JEANNE T DOUGHERTY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

JEANNE T

Last Name

DOUGHERTY

Business Name

JEANNE T DOUGHERTY

Original Issue Date

04/19/2002

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021