DANIELLE MARIE RATAZAK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

MARIE

Last Name

RATAZAK

Business Name

DANIELLE MARIE RATAZAK

Original Issue Date

10/17/2018

Effective Date

05/14/2022

Expiration Date

05/31/2024

City

JOLIET

State

Zip

60436

County

WILL

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

05/14/2022