DONNA L MARTINEK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

MARTINEK

Business Name

DONNA L MARTINEK

Original Issue Date

09/25/2002

Effective Date

04/30/2020

Expiration Date

08/31/2022

City

HARVEY

State

Zip

60426

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022