LESLIE M POWELL Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

CANCELLED

Business

First Name

LESLIE M

Last Name

POWELL

Business Name

LESLIE M POWELL

Original Issue Date

07/08/2005

Effective Date

07/08/2005

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/28/2006