JILLIAN T RADECKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

JILLIAN

Middle

Last Name

RADECKI

Business Name

JILLIAN T RADECKI

Original Issue Date

04/20/2023

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

BURBANK

State

Zip

60459

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026