KIM L NIEZGODA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003075

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

NIEZGODA

Business Name

KIM L NIEZGODA

Original Issue Date

07/16/2001

Effective Date

04/19/2016

Expiration Date

05/31/2018

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018