AMY FAYE THOMAS BASH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

NOT RENEWED

Business

First Name

AMY

Middle

FAYE

Last Name

THOMAS BASH

Business Name

AMY FAYE THOMAS BASH

Original Issue Date

11/15/2016

Effective Date

11/15/2016

Expiration Date

05/31/2018

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018