KENNETH B BERLINER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

KENNETH B

Last Name

BERLINER

Business Name

KENNETH B BERLINER

Original Issue Date

02/07/2005

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025