TERRA L KOLACKI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INACTIVE

Business

First Name

TERRA

Middle

Last Name

KOLACKI

Business Name

TERRA L KOLACKI

Original Issue Date

08/08/2019

Effective Date

08/18/2020

Expiration Date

05/31/2022

City

AURORA

State

Zip

60502

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/18/2020