SHELLEY GALLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

SHELLEY

Last Name

GALLIVAN

Business Name

SHELLEY GALLIVAN

Original Issue Date

05/22/2006

Effective Date

05/22/2006

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008