ANASTASIA MARIE OTT HALLISEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

ANASTASIA MARIE

Middle

OTT

Last Name

HALLISEY

Business Name

ANASTASIA MARIE OTT HALLISEY

Original Issue Date

01/31/2002

Effective Date

01/31/2002

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006