JAN SPENCER PITTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

JAN

Middle

SPENCER

Last Name

PITTS

Business Name

JAN SPENCER PITTS

Original Issue Date

08/01/2019

Effective Date

08/01/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021