TERESA W KODIAK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INACTIVE

Business

First Name

TERESA

Middle

Last Name

KODIAK

Business Name

TERESA W KODIAK

Original Issue Date

01/30/2014

Effective Date

04/27/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022