MARCIN TADEUSZ MIKA - Advanced Practice Nurse License in Illinois | # 209016193

MARCIN TADEUSZ MIKA

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016193

License Status

INACTIVE

Business

N

First Name

MARCIN

Middle

TADEUSZ

Last Name

MIKA

Business Name

MARCIN TADEUSZ MIKA

Original Issue Date

07/20/2017

Effective Date

07/10/2024

Expiration Date

05/31/2026

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

02/06/2026