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*****94

License Status

INOPERATIVE

Business

First Name

MARY

Middle

Last Name

Business Name

MARY P KO

Original Issue Date

11/16/2016

Effective Date

11/16/2016

Expiration Date

05/31/2018

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018