NISA K DARIAN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INOPERATIVE

Business

First Name

NISA

Middle

Last Name

DARIAN

Business Name

NISA K DARIAN

Original Issue Date

09/08/2015

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60189

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020