NINA R SEPLAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

ACTIVE

Business

First Name

NINA

Middle

Last Name

SEPLAK

Business Name

NINA R SEPLAK

Original Issue Date

05/01/2017

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

COAL CITY

State

Zip

60416

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026