BROOKE BASSETT PHENICIE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

BROOKE

Middle

BASSETT

Last Name

PHENICIE

Business Name

BROOKE BASSETT PHENICIE

Original Issue Date

07/08/2011

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2024