DIESAWIT T HANSOM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277004265

License Status

ACTIVE

Business

First Name

DIESAWIT

Middle

Last Name

HANSOM

Business Name

DIESAWIT T HANSOM

Original Issue Date

05/29/2025

Effective Date

05/29/2025

Expiration Date

05/31/2026

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026