AGNIESZKA M BERTUCCI Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

INOPERATIVE

Business

First Name

AGNIESZKA

Middle

Last Name

BERTUCCI

Business Name

AGNIESZKA M BERTUCCI

Original Issue Date

03/21/2023

Effective Date

03/21/2023

Expiration Date

05/31/2024

City

BLOOMINGDALE

State

Zip

60108

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2024