HEATHER M KMIECIK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019918

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

KMIECIK

Business Name

HEATHER M KMIECIK

Original Issue Date

08/23/2019

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026