BECKY PRUSAKIEWICZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

BECKY

Last Name

PRUSAKIEWICZ

Business Name

BECKY PRUSAKIEWICZ

Original Issue Date

09/14/2024

Effective Date

09/14/2024

Expiration Date

05/31/2026

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026