ANDREA C KOMSRI Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

INOPERATIVE

Business

First Name

ANDREA

Middle

Last Name

KOMSRI

Business Name

ANDREA C KOMSRI

Original Issue Date

08/28/2018

Effective Date

08/28/2018

Expiration Date

09/30/2020

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020