SUSAN M GIERCZYK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

GIERCZYK

Business Name

SUSAN M GIERCZYK

Original Issue Date

08/15/2022

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2025