MELISSA MARIE HALVERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARIE

Last Name

HALVERSON

Business Name

MELISSA MARIE HALVERSON

Original Issue Date

09/13/2017

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021