ELISE N ERICKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

Last Name

ERICKSON

Business Name

ELISE N ERICKSON

Original Issue Date

08/24/2005

Effective Date

08/24/2005

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006