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*****04

License Status

INOPERATIVE

Business

First Name

MARY

Middle

Last Name

TOMAK

Business Name

MARY R TOMAK

Original Issue Date

10/10/2014

Effective Date

05/20/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018