EDWARD E ETHERTON
Nursing in Lake Of The Woods, IL

License number
Illinois 041352999
Issued Date
Jun 22, 2006
Expiration Date
May 31, 2018
Type
Registered Professional Nurse
License number
Illinois 209009512
Issued Date
Apr 17, 2012
Expiration Date
May 31, 2018
Type
Advanced Practice Nurse
License number
Illinois 309006087
Issued Date
Oct 5, 2012
Expiration Date
May 31, 2018
Type
Adv Practice Nurse Control Sub(Delegated Schedules Ii Iii Iv V )
License number
Illinois 194005709
Issued Date
Jul 2, 2004
Expiration Date
Oct 31, 2013
Type
Respiratory Care Practitioner
Address
Address
Lake Of The Woods, IL 61525
LicenseFiles verified this license of Dec 23, 2016 at the Illinois Department of Financial and Professional Regulation.

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