DAVID PROTAZIUK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

INACTIVE

Business

First Name

DAVID

Last Name

PROTAZIUK

Business Name

DAVID PROTAZIUK

Original Issue Date

06/06/2022

Effective Date

06/06/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60641

Ever Disciplined

LastModifiedDate

06/06/2022