CHARLENE RENEE POLASKY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

RENEE

Last Name

POLASKY

Business Name

CHARLENE RENEE POLASKY

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/30/2024

City

FRANKFORT

State

Zip

60423

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025