ELLEN M STANBACH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003746

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

STANBACH

Business Name

ELLEN M STANBACH

Original Issue Date

08/29/2001

Effective Date

08/29/2001

Expiration Date

05/31/2004

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/09/2008