PETER J POLLACHEK 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

PETER

Middle

Last Name

POLLACHEK

Business Name

PETER J POLLACHEK

Original Issue Date

06/14/2001

Effective Date

03/04/2024

Expiration Date

05/31/2026

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026