JAMIE T KEDZIOR 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

JAMIE

Middle

Last Name

KEDZIOR

Business Name

JAMIE T KEDZIOR

Original Issue Date

03/10/2015

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

PLAINFIELD

State

Zip

60586

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026