JUSTYNA ANNA KOSCIELNIAK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

INACTIVE

Business

First Name

JUSTYNA

Middle

ANNA

Last Name

KOSCIELNIAK

Business Name

JUSTYNA ANNA KOSCIELNIAK

Original Issue Date

11/16/2021

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2025