MELANIE M PANCHAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007511

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

PANCHAL

Business Name

MELANIE M PANCHAL

Original Issue Date

03/04/2009

Effective Date

03/11/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012