LAUREL PLAHUTA EWING Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INOPERATIVE

Business

First Name

LAUREL

Middle

PLAHUTA

Last Name

EWING

Business Name

LAUREL PLAHUTA EWING

Original Issue Date

09/21/2004

Effective Date

03/25/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2014