SPRING S PIATEK 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

SPRING

Middle

Last Name

PIATEK

Business Name

SPRING S PIATEK

Original Issue Date

04/07/2016

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026