HOLLY ANNE CLAYTON Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

CANCELLED

Business

First Name

HOLLY

Middle

ANNE

Last Name

CLAYTON

Business Name

HOLLY ANNE CLAYTON

Original Issue Date

09/01/2004

Effective Date

09/01/2004

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2008