AMY E DOMKE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001294

License Status

INACTIVE

Business

First Name

AMY E

Last Name

DOMKE

Business Name

AMY E DOMKE

Original Issue Date

06/20/2001

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/09/2008