CARLA A KSZASZCZ HEATH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010510

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

Last Name

KSZASZCZ HEATH

Business Name

CARLA A KSZASZCZ HEATH

Original Issue Date

07/10/2013

Effective Date

05/04/2016

Expiration Date

05/31/2018

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018