DIESAWIT T HANSOM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041458438

License Status

ACTIVE

Business

First Name

DIESAWIT

Middle

Last Name

HANSOM

Business Name

DIESAWIT T HANSOM

Original Issue Date

09/21/2017

Effective Date

04/07/2024

Expiration Date

05/31/2026

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

03/01/2026