ASHLEY R GOMULKA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

Last Name

GOMULKA

Business Name

ASHLEY R GOMULKA

Original Issue Date

03/03/2021

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026