MAURA BRODERICK CAPAUL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

MAURA

Middle

BRODERICK

Last Name

CAPAUL

Business Name

MAURA BRODERICK CAPAUL

Original Issue Date

11/18/2003

Effective Date

03/16/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016