DANIEL C WALASZEK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

WALASZEK

Business Name

DANIEL C WALASZEK

Original Issue Date

03/23/2022

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026