UTA JEAN TICHAWA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

UTA JEAN

Last Name

TICHAWA

Business Name

UTA JEAN TICHAWA

Original Issue Date

02/25/2009

Effective Date

02/25/2009

Expiration Date

05/31/2010

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/11/2010