OWEN TRACY SANGLEY BACUCANG - Registered Nurse License in Illinois | # 041355165

OWEN TRACY SANGLEY BACUCANG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041355165

License Status

NOT RENEWED

Business

N

First Name

OWEN TRACY

Middle

SANGLEY

Last Name

BACUCANG

Business Name

OWEN TRACY SANGLEY BACUCANG

Original Issue Date

08/22/2006

Effective Date

05/17/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

Y

LastModifiedDate

03/22/2019

Case Number

2012004766

Action

Suspension

Discipline Start Date

03/18/2019

Discipline Reason

due to probation violation.