LISA M MATHEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

MATHEY

Business Name

LISA M MATHEY

Original Issue Date

04/30/2004

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020