JENNIFER L DOMINOW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004952

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

DOMINOW

Business Name

JENNIFER L DOMINOW

Original Issue Date

12/16/2003

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020