LESLIE A GRESKOWIAK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INOPERATIVE

Business

First Name

LESLIE

Middle

Last Name

GRESKOWIAK

Business Name

LESLIE A GRESKOWIAK

Original Issue Date

02/05/2020

Effective Date

02/05/2020

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2020