LISA DIANE WITHERSPOON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DIANE

Last Name

WITHERSPOON

Business Name

LISA DIANE WITHERSPOON

Original Issue Date

04/30/2015

Effective Date

04/30/2015

Expiration Date

05/31/2016

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/11/2016