JACQUELINE J WOLAK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

WOLAK

Business Name

JACQUELINE J WOLAK

Original Issue Date

03/31/2016

Effective Date

05/12/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2020