STEPHANIE M RZEPKA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

RZEPKA

Business Name

STEPHANIE M RZEPKA

Original Issue Date

08/22/2017

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60628

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2018