AMANDA M GAWELEK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GAWELEK

Business Name

AMANDA M GAWELEK

Original Issue Date

09/28/2015

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021