BRIDGETT HALLSTROM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

BRIDGETT

Last Name

HALLSTROM

Business Name

BRIDGETT HALLSTROM

Original Issue Date

12/12/2003

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021