RANDI LYNN PUCELY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

INACTIVE

Business

First Name

RANDI

Middle

LYNN

Last Name

PUCELY

Business Name

RANDI LYNN PUCELY

Original Issue Date

07/19/2022

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2025