MARTHA SIOMOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INACTIVE

Business

First Name

MARTHA

Last Name

SIOMOS

Business Name

MARTHA SIOMOS

Original Issue Date

09/18/2001

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/23/2018