SHYLA M WITTHAUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011227

License Status

NOT RENEWED

Business

First Name

SHYLA

Middle

Last Name

WITTHAUS

Business Name

SHYLA M WITTHAUS

Original Issue Date

01/28/2014

Effective Date

04/10/2016

Expiration Date

05/31/2018

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018