BARBARA L DICKINSON SROKA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

L DICKINSON

Last Name

SROKA

Business Name

BARBARA L DICKINSON SROKA

Original Issue Date

11/14/2001

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012