GWENDOLYN RAE RIDDELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005275

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

RAE

Last Name

RIDDELL

Business Name

GWENDOLYN RAE RIDDELL

Original Issue Date

09/10/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008