SUSAN CHACKO MATTHEW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

SUSAN CHACKO

Last Name

MATTHEW

Business Name

SUSAN CHACKO MATTHEW

Original Issue Date

02/27/2014

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

04/30/2018