JONATHAN ROBERT MIZGALA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015373

License Status

INACTIVE

Business

First Name

JONATHAN

Middle

ROBERT

Last Name

MIZGALA

Business Name

JONATHAN ROBERT MIZGALA

Original Issue Date

12/28/2016

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020