DEBORAH J RIDDELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

DEBORAH J

Last Name

RIDDELL

Business Name

DEBORAH J RIDDELL

Original Issue Date

09/21/2001

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

BATAVIA

State

Zip

60510

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2018