KRYSTYNA T OLENIACZ-MILLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

KRYSTYNA

Middle

Last Name

OLENIACZ-MILLER

Business Name

KRYSTYNA T OLENIACZ-MILLER

Original Issue Date

09/17/2020

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

WOODSTOCK

State

Zip

60098

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2024