BETSY SHRYOCK KASTAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

BETSY

Middle

SHRYOCK

Last Name

KASTAK

Business Name

BETSY SHRYOCK KASTAK

Original Issue Date

04/18/2006

Effective Date

05/11/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016