EWA RAFACZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

INACTIVE

Business

First Name

EWA

Last Name

RAFACZ

Business Name

EWA RAFACZ

Original Issue Date

11/10/2016

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020