DIANA M SIEWKO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

SIEWKO

Business Name

DIANA M SIEWKO

Original Issue Date

08/06/2009

Effective Date

05/12/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012