PHEBE DODYK KIRYK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

PHEBE

Middle

DODYK

Last Name

KIRYK

Business Name

PHEBE DODYK KIRYK

Original Issue Date

05/18/2015

Effective Date

03/08/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022