KRISTINE MARIE RUZICKA 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

KRISTINE

Middle

MARIE

Last Name

RUZICKA

Business Name

KRISTINE MARIE RUZICKA

Original Issue Date

07/25/2023

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026