DOUGLAS P MICHAELSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011144

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

MICHAELSON

Business Name

DOUGLAS P MICHAELSON

Original Issue Date

12/20/2013

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

01/14/2021