BART H RAFACZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

BART

Middle

Last Name

RAFACZ

Business Name

BART H RAFACZ

Original Issue Date

04/01/2025

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026