DEBORAH A PANUSKA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

DEBORAH A

Last Name

PANUSKA

Business Name

DEBORAH A PANUSKA

Original Issue Date

03/03/2008

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021