KSHAYLA C LAFAYETTE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

INACTIVE

Business

First Name

KSHAYLA

Middle

Last Name

LAFAYETTE

Business Name

KSHAYLA C LAFAYETTE

Original Issue Date

10/18/2017

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/31/2023