MICHELLE A DOMANCHUK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

DOMANCHUK

Business Name

MICHELLE A DOMANCHUK

Original Issue Date

10/25/2001

Effective Date

04/05/2016

Expiration Date

05/31/2018

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018