ELLEN LANE TILDEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

LANE

Last Name

TILDEN

Business Name

ELLEN LANE TILDEN

Original Issue Date

02/04/2002

Effective Date

02/04/2002

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006