CHRISTOPHER J GLAZIK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

Last Name

GLAZIK

Business Name

CHRISTOPHER J GLAZIK

Original Issue Date

05/29/2024

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026