KRZYSZTOF D WLOSEK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

INACTIVE

Business

First Name

KRZYSZTOF

Middle

Last Name

WLOSEK

Business Name

KRZYSZTOF D WLOSEK

Original Issue Date

08/14/2017

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2024