MARK A TOMCZAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

MARK A

Last Name

TOMCZAK

Business Name

MARK A TOMCZAK

Original Issue Date

11/04/2004

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

HOMER GLEN

State

Zip

60491

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026