ANNA MARIA DOMALIK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

ANNA

Middle

MARIA

Last Name

DOMALIK

Business Name

ANNA MARIA DOMALIK

Original Issue Date

05/24/2024

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

AURORA

State

Zip

60506

County

KANE

Delegated Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

03/02/2026