PAUL J KOWALCZYK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

PAUL J

Last Name

KOWALCZYK

Business Name

PAUL J KOWALCZYK

Original Issue Date

08/25/2014

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021