KELSEY KMIECIK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010123

License Status

NOT RENEWED

Business

First Name

KELSEY

Last Name

KMIECIK

Business Name

KELSEY KMIECIK

Original Issue Date

12/18/2012

Effective Date

03/16/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018