TERRA L KOLACKI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019751

License Status

INACTIVE

Business

First Name

TERRA

Middle

Last Name

KOLACKI

Business Name

TERRA L KOLACKI

Original Issue Date

08/05/2019

Effective Date

08/18/2020

Expiration Date

05/31/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/07/2020