EMILY E MOHYDE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

MOHYDE

Business Name

EMILY E MOHYDE

Original Issue Date

05/30/2018

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

BLUE ISLAND

State

Zip

60406

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021