ANDREA L PAWLAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

PAWLAK

Business Name

ANDREA L PAWLAK

Original Issue Date

08/24/2019

Effective Date

07/27/2022

Expiration Date

06/30/2024

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025