CARLA R BOLEK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INACTIVE

Business

First Name

CARLA

Middle

Last Name

BOLEK

Business Name

CARLA R BOLEK

Original Issue Date

06/15/2005

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2018