MATT T VATANATUNYAKUM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

MATT

Middle

Last Name

VATANATUNYAKUM

Business Name

MATT T VATANATUNYAKUM

Original Issue Date

10/06/2022

Effective Date

10/06/2022

Expiration Date

06/30/2024

City

SCHAUMBURG

State

Zip

60193

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025