MACKENZIE DOUGLASS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010345

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Last Name

DOUGLASS

Business Name

MACKENZIE DOUGLASS

Original Issue Date

03/26/2013

Effective Date

05/04/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018