NATALIA KLUSACEK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

INACTIVE

Business

First Name

NATALIA

Last Name

KLUSACEK

Business Name

NATALIA KLUSACEK

Original Issue Date

03/24/2016

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2018