LAURIE A PODESZWA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

LAURIE

Middle

Last Name

PODESZWA

Business Name

LAURIE A PODESZWA

Original Issue Date

12/04/2003

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026