PAMELA RAE DOLOSZYCKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

PAMELA RAE

Last Name

DOLOSZYCKI

Business Name

PAMELA RAE DOLOSZYCKI

Original Issue Date

02/01/2007

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026