DAKOTA L FELCKOWSKI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

DAKOTA

Middle

Last Name

FELCKOWSKI

Business Name

DAKOTA L FELCKOWSKI

Original Issue Date

07/18/2019

Effective Date

09/03/2020

Expiration Date

05/31/2022

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2020