SHANELLE BINGGELI EISWIRTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

SHANELLE

Middle

BINGGELI

Last Name

EISWIRTH

Business Name

SHANELLE BINGGELI EISWIRTH

Original Issue Date

10/26/2018

Effective Date

10/26/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021