BETHANY L POTEMPA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

INACTIVE

Business

First Name

BETHANY

Middle

Last Name

POTEMPA

Business Name

BETHANY L POTEMPA

Original Issue Date

08/02/2021

Effective Date

07/07/2022

Expiration Date

05/31/2024

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024