RENETTA M KONCZAL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001400

License Status

INACTIVE

Business

First Name

RENETTA M

Last Name

KONCZAL

Business Name

RENETTA M KONCZAL

Original Issue Date

06/21/2001

Effective Date

05/23/2014

Expiration Date

05/31/2016

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/16/2016