PAULINA A PETRISHKA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

PAULINA

Middle

Last Name

PETRISHKA

Business Name

PAULINA A PETRISHKA

Original Issue Date

08/28/2018

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026