ELIZABETH LOUISE RETHERFORD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

LOUISE

Last Name

RETHERFORD

Business Name

ELIZABETH LOUISE RETHERFORD

Original Issue Date

08/12/2015

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

KENOSHA

State

Zip

53142

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022