STEPHANIE C FAYNE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

FAYNE

Business Name

STEPHANIE C FAYNE

Original Issue Date

06/14/2022

Effective Date

06/14/2022

Expiration Date

06/30/2024

City

LIBERTYVILLE

State

Zip

60048

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/03/2024