CARLA R BOLEK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004989

License Status

INACTIVE

Business

First Name

CARLA

Middle

Last Name

BOLEK

Business Name

CARLA R BOLEK

Original Issue Date

01/22/2004

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2018