AGATA D MANIKOWSKA SROKOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006538

License Status

NOT RENEWED

Business

First Name

AGATA

Middle

Last Name

MANIKOWSKA SROKOWSKI

Business Name

AGATA D MANIKOWSKA SROKOWSKI

Original Issue Date

03/28/2007

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

WIND LAKE

State

Zip

53185

Ever Disciplined

LastModifiedDate

07/10/2012