AUSTIN J SPOON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

Last Name

SPOON

Business Name

AUSTIN J SPOON

Original Issue Date

09/11/2021

Effective Date

09/11/2021

Expiration Date

08/31/2022

City

JOLIET

State

Zip

60431

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022