AMY J POLIVKA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028721

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

POLIVKA

Business Name

AMY J POLIVKA

Original Issue Date

11/08/2023

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60516

Ever Disciplined

LastModifiedDate

03/02/2026