LAUREN RAE DOMSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

RAE

Last Name

DOMSKI

Business Name

LAUREN RAE DOMSKI

Original Issue Date

12/22/2016

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/21/2022