DIESAWIT T HANSOM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****74

License Status

ACTIVE

Business

First Name

DIESAWIT

Middle

Last Name

HANSOM

Business Name

DIESAWIT T HANSOM

Original Issue Date

06/29/2025

Effective Date

06/29/2025

Expiration Date

05/31/2026

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026