ELYSE M FAGAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012695

License Status

ACTIVE

Business

First Name

ELYSE

Middle

Last Name

FAGAN

Business Name

ELYSE M FAGAN

Original Issue Date

03/25/2015

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026