GRACE M DZIUBAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002235

License Status

NOT RENEWED

Business

First Name

GRACE M

Last Name

DZIUBAK

Business Name

GRACE M DZIUBAK

Original Issue Date

07/03/2001

Effective Date

07/03/2001

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2008