ELLEN K VERLEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

ELLEN K

Last Name

VERLEN

Business Name

ELLEN K VERLEN

Original Issue Date

10/06/2005

Effective Date

04/27/2018

Expiration Date

09/30/2020

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2018