ANASTASIA L DOHERTY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Middle

Last Name

DOHERTY

Business Name

ANASTASIA L DOHERTY

Original Issue Date

12/14/2004

Effective Date

12/14/2004

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006