LISA M WYWROT 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

LISA

Middle

Last Name

WYWROT

Business Name

LISA M WYWROT

Original Issue Date

10/05/2021

Effective Date

05/25/2022

Expiration Date

05/31/2024

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2024