KELSEY KMIECIK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INOPERATIVE

Business

First Name

KELSEY

Last Name

KMIECIK

Business Name

KELSEY KMIECIK

Original Issue Date

01/28/2013

Effective Date

03/17/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018