DONNA C CZECH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

DONNA

Middle

Last Name

CZECH

Business Name

DONNA C CZECH

Original Issue Date

09/13/2018

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026