JOSE RAY B TUMULAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

RAY B

Last Name

TUMULAK

Business Name

JOSE RAY B TUMULAK

Original Issue Date

01/28/2009

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012