KIM L NIEZGODA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

NIEZGODA

Business Name

KIM L NIEZGODA

Original Issue Date

06/17/2003

Effective Date

04/20/2016

Expiration Date

05/31/2018

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018