LAURA M DOMAGALA 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

LAURA

Middle

Last Name

DOMAGALA

Business Name

LAURA M DOMAGALA

Original Issue Date

05/11/2021

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026