MICHELLE L CHURCHILL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

INOPERATIVE

Business

First Name

MICHELLE

Middle

Last Name

CHURCHILL

Business Name

MICHELLE L CHURCHILL

Original Issue Date

12/17/2013

Effective Date

04/01/2014

Expiration Date

05/31/2016

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2014