ALLYSIA R AFFONSO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007544

License Status

NOT RENEWED

Business

First Name

ALLYSIA

Middle

Last Name

AFFONSO

Business Name

ALLYSIA R AFFONSO

Original Issue Date

04/02/2009

Effective Date

04/02/2009

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010