ELIZABETH I FEVOLD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

FEVOLD

Business Name

ELIZABETH I FEVOLD

Original Issue Date

12/04/2019

Effective Date

05/14/2022

Expiration Date

05/31/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023