ELISE N ERICKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

Last Name

ERICKSON

Business Name

ELISE N ERICKSON

Original Issue Date

08/08/2006

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012