LESLIE ELIZABETH FOSS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

ELIZABETH

Last Name

FOSS

Business Name

LESLIE ELIZABETH FOSS

Original Issue Date

07/27/2007

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014