MARY R ERICKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

ERICKSON

Business Name

MARY R ERICKSON

Original Issue Date

09/19/2001

Effective Date

09/19/2001

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006