MARLENE S WENTWORTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

NOT RENEWED

Business

First Name

MARLENE S

Last Name

WENTWORTH

Business Name

MARLENE S WENTWORTH

Original Issue Date

05/29/2002

Effective Date

03/21/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014