KATIE L KONOPACZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

KATIE

Middle

Last Name

KONOPACZ

Business Name

KATIE L KONOPACZ

Original Issue Date

02/08/2017

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

LAKE FOREST

State

Zip

60045

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026