DEBRA CHUDZIK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

NOT RENEWED

Business

First Name

DEBRA

Last Name

CHUDZIK

Business Name

DEBRA CHUDZIK

Original Issue Date

02/21/2020

Effective Date

02/21/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021