AMORY S BALUCATING Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

AMORY S

Last Name

BALUCATING

Business Name

AMORY S BALUCATING

Original Issue Date

02/02/2024

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

LAKE IN THE HILLS

State

Zip

61107

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026