ANDREA C KOMSRI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

KOMSRI

Business Name

ANDREA C KOMSRI

Original Issue Date

12/29/2018

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026