THEODORE JOHN KRZYSIK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034864

License Status

ACTIVE

Business

First Name

THEODORE

Middle

JOHN

Last Name

KRZYSIK

Business Name

THEODORE JOHN KRZYSIK

Original Issue Date

02/24/2026

Effective Date

02/24/2026

Expiration Date

05/31/2026

City

GRAYLING

State

Zip

49738

Ever Disciplined

LastModifiedDate

03/02/2026