ALAN ANTHONY AMBERG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INACTIVE

Business

First Name

ALAN

Middle

ANTHONY

Last Name

AMBERG

Business Name

ALAN ANTHONY AMBERG

Original Issue Date

11/20/2013

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

EAST DUNDEE

State

Zip

60118

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2018