CHRISTINE M LUKANICH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

INACTIVE

Business

First Name

CHRISTINE

Middle

Last Name

LUKANICH

Business Name

CHRISTINE M LUKANICH

Original Issue Date

05/04/2001

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

MINOOKA

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2022