MARIOLA KACZKOWSKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

ACTIVE

Business

First Name

MARIOLA

Last Name

KACZKOWSKI

Business Name

MARIOLA KACZKOWSKI

Original Issue Date

02/17/2011

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026