MARK R DVORAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003807

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

DVORAK

Business Name

MARK R DVORAK

Original Issue Date

09/06/2001

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021