MICHELLE MARGARET STOKLOSA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

MARGARET

Last Name

STOKLOSA

Business Name

MICHELLE MARGARET STOKLOSA

Original Issue Date

04/06/2017

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

HOMER GLEN

State

Zip

60491

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026