LINDA MARY FOLLENWEIDER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

LINDA MARY

Last Name

FOLLENWEIDER

Business Name

LINDA MARY FOLLENWEIDER

Original Issue Date

08/20/2001

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/16/2018