ANDREW DAVID PERRY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

ANDREW

Middle

DAVID

Last Name

PERRY

Business Name

ANDREW DAVID PERRY

Original Issue Date

07/02/2019

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60661

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026