MICHELLE K MENDYK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

MENDYK

Business Name

MICHELLE K MENDYK

Original Issue Date

05/15/2008

Effective Date

03/30/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021