MIRIAM ASYA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

MIRIAM

Last Name

ASYA

Business Name

MIRIAM ASYA

Original Issue Date

10/22/2012

Effective Date

10/22/2012

Expiration Date

05/31/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2012