NATALIE DOMACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028402

License Status

ACTIVE

Business

First Name

NATALIE

Last Name

DOMACK

Business Name

NATALIE DOMACK

Original Issue Date

10/08/2023

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60607

Ever Disciplined

LastModifiedDate

03/02/2026