ELISE DIANE LAUDERDALE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INOPERATIVE

Business

First Name

ELISE

Middle

DIANE

Last Name

LAUDERDALE

Business Name

ELISE DIANE LAUDERDALE

Original Issue Date

03/12/2013

Effective Date

04/24/2016

Expiration Date

05/31/2018

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/01/2018