MYRIAM DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INACTIVE

Business

First Name

MYRIAM

Last Name

DAVIS

Business Name

MYRIAM DAVIS

Original Issue Date

11/01/2005

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020