SUSAN V CHACKO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009623

License Status

INACTIVE

Business

First Name

SUSAN V

Last Name

CHACKO

Business Name

SUSAN V CHACKO

Original Issue Date

07/10/2012

Effective Date

04/28/2020

Expiration Date

05/31/2022

City

MOUNT PROSPECT

State

Zip

60056

Ever Disciplined

LastModifiedDate

04/28/2020