KAREN D POTOCKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

Last Name

POTOCKI

Business Name

KAREN D POTOCKI

Original Issue Date

07/23/2009

Effective Date

08/10/2020

Expiration Date

08/31/2022

City

FOUNTAIN HLS

State

Zip

85268

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022