LAUREN RAE DOMSKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

LAUREN

Middle

RAE

Last Name

DOMSKI

Business Name

LAUREN RAE DOMSKI

Original Issue Date

09/14/2023

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026