AUDREY E POLYWKA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

AUDREY

Middle

Last Name

POLYWKA

Business Name

AUDREY E POLYWKA

Original Issue Date

09/19/2019

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026