CHARLES T YINGLING Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

INACTIVE

Business

First Name

CHARLES

Middle

Last Name

YINGLING

Business Name

CHARLES T YINGLING

Original Issue Date

12/29/2005

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018