BRIDGET E WIACEK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

BRIDGET E

Last Name

WIACEK

Business Name

BRIDGET E WIACEK

Original Issue Date

12/15/2017

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026