AMY LYNN DZIKOWICZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

DZIKOWICZ

Business Name

AMY LYNN DZIKOWICZ

Original Issue Date

09/20/2001

Effective Date

09/20/2001

Expiration Date

05/31/2006

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006