BRENDA R GREENE 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

BRENDA

Middle

Last Name

GREENE

Business Name

BRENDA R GREENE

Original Issue Date

08/07/2018

Effective Date

08/07/2018

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021