CONCETTA L ZAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

CONCETTA

Middle

Last Name

ZAK

Business Name

CONCETTA L ZAK

Original Issue Date

09/03/2002

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012