JENNIFER Y FIELDS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

FIELDS

Business Name

JENNIFER Y FIELDS

Original Issue Date

09/24/2001

Effective Date

09/24/2001

Expiration Date

05/31/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006