KRYSTLE MICHELLE WISNASKY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

KRYSTLE

Middle

MICHELLE

Last Name

WISNASKY

Business Name

KRYSTLE MICHELLE WISNASKY

Original Issue Date

03/05/2020

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026