TAMYRA M JANICKI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INACTIVE

Business

First Name

TAMYRA

Middle

Last Name

JANICKI

Business Name

TAMYRA M JANICKI

Original Issue Date

10/24/2016

Effective Date

09/04/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/29/2020