ELIZABETH BOLANOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

ELIZABETH

Last Name

BOLANOS

Business Name

ELIZABETH BOLANOS

Original Issue Date

01/26/2018

Effective Date

08/05/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2020