MICHELLE A DOMANCHUK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001363

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

DOMANCHUK

Business Name

MICHELLE A DOMANCHUK

Original Issue Date

06/21/2001

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2022