LOLA DIXON KLIMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

LOLA

Middle

DIXON

Last Name

KLIMA

Business Name

LOLA DIXON KLIMA

Original Issue Date

05/24/2002

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

01/14/2021