KATHY S ANTUNOVICH Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

INOPERATIVE

Business

First Name

KATHY S

Last Name

ANTUNOVICH

Business Name

KATHY S ANTUNOVICH

Original Issue Date

09/10/2001

Effective Date

05/08/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012