KELLY A DYKUN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

DYKUN

Business Name

KELLY A DYKUN

Original Issue Date

03/21/2011

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021