SISAY BEKELE MERSHA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

SISAY

Middle

BEKELE

Last Name

MERSHA

Business Name

SISAY BEKELE MERSHA

Original Issue Date

03/05/2012

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018