GAIL E MIKUCKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

GAIL

Middle

Last Name

MIKUCKI

Business Name

GAIL E MIKUCKI

Original Issue Date

12/09/2011

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026