MICHELE A IVANIC Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

INOPERATIVE

Business

First Name

MICHELE

Middle

Last Name

IVANIC

Business Name

MICHELE A IVANIC

Original Issue Date

12/08/2018

Effective Date

12/08/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020