DEBRA FRANCES FOX 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

DEBRA

Middle

FRANCES

Last Name

FOX

Business Name

DEBRA FRANCES FOX

Original Issue Date

09/11/2014

Effective Date

05/15/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60654

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2018