DORIS M VAN BYSSUM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

INACTIVE

Business

First Name

DORIS M

Last Name

VAN BYSSUM

Business Name

DORIS M VAN BYSSUM

Original Issue Date

07/21/2015

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/23/2018