TERESA W KODIAK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010786

License Status

INACTIVE

Business

First Name

TERESA

Middle

Last Name

KODIAK

Business Name

TERESA W KODIAK

Original Issue Date

10/02/2013

Effective Date

04/27/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022