NICOLE L STAWICKI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

STAWICKI

Business Name

NICOLE L STAWICKI

Original Issue Date

03/08/2023

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2025