BERNADETA A KAPUSTKA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

BERNADETA

Middle

Last Name

KAPUSTKA

Business Name

BERNADETA A KAPUSTKA

Original Issue Date

08/15/2019

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

WHEELING

State

Zip

60090

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026