STEPHANIE MARIE WEDLAKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

WEDLAKE

Business Name

STEPHANIE MARIE WEDLAKE

Original Issue Date

01/04/2021

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026