ALAN ANTHONY AMBERG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

ANTHONY

Last Name

AMBERG

Business Name

ALAN ANTHONY AMBERG

Original Issue Date

03/10/2014

Effective Date

05/04/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018