REBECCA CHUFFO SIEWERT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

CHUFFO

Last Name

SIEWERT

Business Name

REBECCA CHUFFO SIEWERT

Original Issue Date

10/03/2001

Effective Date

10/03/2001

Expiration Date

05/31/2004

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

10/09/2006