DANA M MIKOLAJCZAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

DANA

Middle

Last Name

MIKOLAJCZAK

Business Name

DANA M MIKOLAJCZAK

Original Issue Date

06/20/2024

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026