TIMOTHY C SKALITZKY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

SKALITZKY

Business Name

TIMOTHY C SKALITZKY

Original Issue Date

11/24/2021

Effective Date

06/03/2024

Expiration Date

05/31/2026

City

ZION

State

Zip

60099

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026