REVI CHARI MANIPOL BRINKMAN 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

REVI CHARI

Middle

MANIPOL

Last Name

BRINKMAN

Business Name

REVI CHARI MANIPOL BRINKMAN

Original Issue Date

10/15/2025

Effective Date

10/15/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60628

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026