KRISTEN M ELLENSOHN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

ELLENSOHN

Business Name

KRISTEN M ELLENSOHN

Original Issue Date

05/19/2004

Effective Date

04/26/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014