ALEXANDRA KATHLEEN DILLMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

KATHLEEN

Last Name

DILLMAN

Business Name

ALEXANDRA KATHLEEN DILLMAN

Original Issue Date

02/20/2021

Effective Date

02/20/2021

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022