TARA RACZKA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

TARA

Last Name

RACZKA

Business Name

TARA RACZKA

Original Issue Date

12/13/2010

Effective Date

12/13/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012