AMY G REYNOLDS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

REYNOLDS

Business Name

AMY G REYNOLDS

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

08/31/2022

City

GLENVIEW

State

Zip

60025

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022