MARY P KO Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INOPERATIVE

Business

First Name

MARY

Middle

Last Name

Business Name

MARY P KO

Original Issue Date

10/09/2019

Effective Date

05/26/2020

Expiration Date

05/31/2022

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2022