MARIOLA U GRZESZCZYK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

MARIOLA

Middle

Last Name

GRZESZCZYK

Business Name

MARIOLA U GRZESZCZYK

Original Issue Date

07/09/2022

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026