DIESAWIT T HANSOM - Advanced Practice Nurse License in Illinois | # 209026574

DIESAWIT T HANSOM

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026574

License Status

INACTIVE

Business

N

First Name

DIESAWIT

Middle

T

Last Name

HANSOM

Business Name

DIESAWIT T HANSOM

Original Issue Date

12/14/2022

Effective Date

04/07/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

05/29/2025