PAUL MICHAEL MAZUR Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INOPERATIVE

Business

First Name

PAUL

Middle

MICHAEL

Last Name

MAZUR

Business Name

PAUL MICHAEL MAZUR

Original Issue Date

06/20/2014

Effective Date

06/20/2014

Expiration Date

05/31/2016

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

06/18/2014