DEBORAH A MASIAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

MASIAK

Business Name

DEBORAH A MASIAK

Original Issue Date

03/03/2016

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60564

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021