JILL ANN CAPOBIANCO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ANN

Last Name

CAPOBIANCO

Business Name

JILL ANN CAPOBIANCO

Original Issue Date

08/17/2001

Effective Date

08/17/2001

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006