KATE ERIN MYCZEK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

INACTIVE

Business

First Name

KATE

Middle

ERIN

Last Name

MYCZEK

Business Name

KATE ERIN MYCZEK

Original Issue Date

10/10/2017

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022