JASON MICHAEL PENCEK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015396

License Status

INACTIVE

Business

First Name

JASON

Middle

MICHAEL

Last Name

PENCEK

Business Name

JASON MICHAEL PENCEK

Original Issue Date

12/29/2016

Effective Date

09/02/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2022