MARY KATHERINE PLAKOVIC Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KATHERINE

Last Name

PLAKOVIC

Business Name

MARY KATHERINE PLAKOVIC

Original Issue Date

08/31/2012

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021