JILL S ANDERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

ANDERSON

Business Name

JILL S ANDERSON

Original Issue Date

05/25/2001

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

RIVER FOREST

State

Zip

60305

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021