ALYSSA N LUPTAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

Last Name

LUPTAK

Business Name

ALYSSA N LUPTAK

Original Issue Date

01/30/2020

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

ELK GROVE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026