MELISSA M PTAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023250

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

PTAK

Business Name

MELISSA M PTAK

Original Issue Date

05/07/2021

Effective Date

05/07/2021

Expiration Date

08/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2022