BRYAN A FILL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

INACTIVE

Business

First Name

BRYAN

Middle

Last Name

FILL

Business Name

BRYAN A FILL

Original Issue Date

09/10/2014

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

BOLINGBROOK

State

Zip

60490

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/23/2020