AMY L DOMASH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202297

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

DOMASH

Business Name

AMY L DOMASH

Original Issue Date

05/19/1981

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022