RICHARD E ZIMMERMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

ZIMMERMAN

Business Name

RICHARD E ZIMMERMAN

Original Issue Date

04/24/2017

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

DEMOTTE

State

Zip

46310

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021