AMY J POLIVKA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

POLIVKA

Business Name

AMY J POLIVKA

Original Issue Date

06/11/2024

Effective Date

06/11/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026