HALLIE A KONIECZKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

NOT RENEWED

Business

First Name

HALLIE

Middle

Last Name

KONIECZKI

Business Name

HALLIE A KONIECZKI

Original Issue Date

10/20/2016

Effective Date

06/04/2022

Expiration Date

06/30/2024

City

PERU

State

Zip

61354

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025