CARMEN MARY ZYCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005229

License Status

NOT RENEWED

Business

First Name

CARMEN MARY

Last Name

ZYCH

Business Name

CARMEN MARY ZYCH

Original Issue Date

08/04/2004

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021