AGNIESZKA J GASZAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

AGNIESZKA

Middle

Last Name

GASZAK

Business Name

AGNIESZKA J GASZAK

Original Issue Date

11/26/2023

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026