BECKY J CERVENKA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

BECKY

Middle

Last Name

CERVENKA

Business Name

BECKY J CERVENKA

Original Issue Date

02/04/2003

Effective Date

02/04/2003

Expiration Date

05/31/2004

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006