SHYLA M WITTHAUS 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

SHYLA

Middle

Last Name

WITTHAUS

Business Name

SHYLA M WITTHAUS

Original Issue Date

05/23/2016

Effective Date

05/23/2016

Expiration Date

05/31/2018

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018