TREVOR JAMES BARNUM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

INACTIVE

Business

First Name

TREVOR

Middle

JAMES

Last Name

BARNUM

Business Name

TREVOR JAMES BARNUM

Original Issue Date

02/16/2021

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/15/2024