PATRICIA CARLENE HART Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

INACTIVE

Business

First Name

PATRICIA

Middle

CARLENE

Last Name

HART

Business Name

PATRICIA CARLENE HART

Original Issue Date

01/26/2018

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

BURR RIDGE

State

Zip

60527

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2024