MICHELLE MARIE BUIKEMA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

MARIE

Last Name

BUIKEMA

Business Name

MICHELLE MARIE BUIKEMA

Original Issue Date

07/18/2012

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2018