CECELIA B BACOM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

NOT RENEWED

Business

First Name

CECELIA

Middle

Last Name

BACOM

Business Name

CECELIA B BACOM

Original Issue Date

08/05/2003

Effective Date

08/05/2003

Expiration Date

05/31/2006

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006