MARK SEDLAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

SEDLAK

Business Name

MARK SEDLAK

Original Issue Date

05/12/2020

Effective Date

05/12/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022