PAMELA A BOLYANATZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

PAMELA A

Last Name

BOLYANATZ

Business Name

PAMELA A BOLYANATZ

Original Issue Date

03/17/2005

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

LOS ANGELES

State

Zip

90042

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022