DOROTHY MAKA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

DOROTHY

Last Name

MAKA

Business Name

DOROTHY MAKA

Original Issue Date

09/13/2018

Effective Date

05/13/2020

Expiration Date

08/31/2022

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/14/2022