JOLANTA E DMOCHOWSKI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INACTIVE

Business

First Name

JOLANTA

Middle

Last Name

DMOCHOWSKI

Business Name

JOLANTA E DMOCHOWSKI

BusinessDBA

DMOCHOWSKI YOLANDA

Original Issue Date

04/07/2015

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2018