JAMIE THALE BROGAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

JAMIE

Middle

THALE

Last Name

BROGAN

Business Name

JAMIE THALE BROGAN

Original Issue Date

04/10/2014

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

DEERFIELD

State

Zip

60015

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026