DANIELLE MARIE RATAZAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

MARIE

Last Name

RATAZAK

Business Name

DANIELLE MARIE RATAZAK

Original Issue Date

03/12/2013

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

COAL CITY

State

Zip

60416

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021