MACKENZIE DOUGLASS 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

MACKENZIE

Last Name

DOUGLASS

Business Name

MACKENZIE DOUGLASS

Original Issue Date

08/07/2013

Effective Date

05/05/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018