MARY R TOMAK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

INOPERATIVE

Business

First Name

MARY

Middle

Last Name

TOMAK

Business Name

MARY R TOMAK

Original Issue Date

07/24/2013

Effective Date

04/21/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018