PAUL E ANTCZAK 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

PAUL

Middle

Last Name

ANTCZAK

Business Name

PAUL E ANTCZAK

Original Issue Date

11/06/2021

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60625

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026