LINDSAY J MOTULIAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

LINDSAY

Middle

Last Name

MOTULIAK

Business Name

LINDSAY J MOTULIAK

Original Issue Date

12/29/2018

Effective Date

07/21/2020

Expiration Date

08/31/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022