ANDREA L PAWLAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

PAWLAK

Business Name

ANDREA L PAWLAK

Original Issue Date

12/19/2018

Effective Date

12/19/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021