MARY L PUCHALSKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

PUCHALSKI

Business Name

MARY L PUCHALSKI

Original Issue Date

01/26/2017

Effective Date

04/21/2024

Expiration Date

05/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026