AMY FAYE THOMAS BASH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

AMY

Middle

FAYE

Last Name

THOMAS BASH

Business Name

AMY FAYE THOMAS BASH

Original Issue Date

12/29/2017

Effective Date

03/20/2026

Expiration Date

05/31/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026