JACK KAMENSKE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INACTIVE

Business

First Name

JACK

Last Name

KAMENSKE

Business Name

JACK KAMENSKE

Original Issue Date

04/10/2020

Effective Date

04/10/2020

Expiration Date

08/31/2022

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/03/2022