UTA JEAN TICHAWA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001180

License Status

NOT RENEWED

Business

First Name

UTA JEAN

Last Name

TICHAWA

Business Name

UTA JEAN TICHAWA

Original Issue Date

06/20/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010