JILL M B ANDERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

JILL

Middle

M B

Last Name

ANDERSON

Business Name

JILL M B ANDERSON

Original Issue Date

07/27/2005

Effective Date

07/27/2005

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008