MICHELLE A DOMANCHUK - Advanced Practice Nurse License in Illinois | # 209001363

MICHELLE A DOMANCHUK

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001363

License Status

INACTIVE

Business

N

First Name

MICHELLE

Middle

A

Last Name

DOMANCHUK

Business Name

MICHELLE A DOMANCHUK

Original Issue Date

06/21/2001

Effective Date

04/27/2020

Expiration Date

08/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/07/2022