JESSICA E LUCCA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

LUCCA

Business Name

JESSICA E LUCCA

Original Issue Date

03/17/2015

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021