ANNE BIJUMON LUCKOSE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007165

License Status

INACTIVE

Business

First Name

ANNE

Middle

BIJUMON

Last Name

LUCKOSE

Business Name

ANNE BIJUMON LUCKOSE

Original Issue Date

07/28/2008

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2022