HALLIE A KONIECZKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

HALLIE

Middle

Last Name

KONIECZKI

Business Name

HALLIE A KONIECZKI

Original Issue Date

06/29/2020

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/03/2026