M ELIZABETH COOPER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

NOT RENEWED

Business

First Name

Middle

ELIZABETH

Last Name

COOPER

Business Name

M ELIZABETH COOPER

Original Issue Date

11/24/2004

Effective Date

04/22/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021