TRACI ANNA WILEMAN-ELISZEWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

ANNA

Last Name

WILEMAN-ELISZEWSKI

Business Name

TRACI ANNA WILEMAN-ELISZEWSKI

Original Issue Date

10/06/2017

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021