BRIAN E KAMUDA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

KAMUDA

Business Name

BRIAN E KAMUDA

Original Issue Date

05/13/2013

Effective Date

05/13/2013

Expiration Date

05/31/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014