MELANIE M PANCHAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

PANCHAL

Business Name

MELANIE M PANCHAL

Original Issue Date

03/25/2009

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012