DOROTHY MOGILNICKA ALLEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

DOROTHY

Middle

MOGILNICKA

Last Name

ALLEN

Business Name

DOROTHY MOGILNICKA ALLEN

Original Issue Date

11/28/2016

Effective Date

04/22/2018

Expiration Date

09/30/2020

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021