MARY ELIZABETH KLUNICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

MARY

Middle

ELIZABETH

Last Name

KLUNICK

Business Name

MARY ELIZABETH KLUNICK

Original Issue Date

09/07/2017

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026