REBECCA E BIRNBAUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

REBECCA

Middle

Last Name

BIRNBAUM

Business Name

REBECCA E BIRNBAUM

Original Issue Date

05/09/2022

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026