PHILLIP T DETURK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

DETURK

Business Name

PHILLIP T DETURK

Original Issue Date

04/01/2010

Effective Date

04/01/2010

Expiration Date

05/31/2012

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012