STACEY R SANDBO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

SANDBO

Business Name

STACEY R SANDBO

Original Issue Date

06/15/2005

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012