CAMILLE F PESCHKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

Last Name

PESCHKE

Business Name

CAMILLE F PESCHKE

Original Issue Date

07/29/2020

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

ELK GROVE VILLAGE

State

Zip

60007

County

MASSACHUSETTS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026