KAREN ANNE WALCZAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

ANNE

Last Name

WALCZAK

Business Name

KAREN ANNE WALCZAK

Original Issue Date

11/07/2022

Effective Date

11/07/2022

Expiration Date

06/30/2024

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025