ROWEINE Q STASZCUK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

ROWEINE

Middle

Last Name

STASZCUK

Business Name

ROWEINE Q STASZCUK

Original Issue Date

10/25/2006

Effective Date

04/13/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60604

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/13/2020