LISA C GASTON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

GASTON

Business Name

LISA C GASTON

Original Issue Date

05/19/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010