DEIDRA K LEWANDOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

DEIDRA K

Last Name

LEWANDOWSKI

Business Name

DEIDRA K LEWANDOWSKI

Original Issue Date

12/18/2001

Effective Date

08/05/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2025