SUSAN V CHACKO 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

SUSAN V

Last Name

CHACKO

Business Name

SUSAN V CHACKO

Original Issue Date

03/19/2013

Effective Date

04/28/2020

Expiration Date

05/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

04/28/2020