TERRI L MARCISCHAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

TERRI

Middle

Last Name

MARCISCHAK

Business Name

TERRI L MARCISCHAK

Original Issue Date

05/30/2024

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60604

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026