CARLEEN KAUCKY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

NOT RENEWED

Business

First Name

CARLEEN

Last Name

KAUCKY

Business Name

CARLEEN KAUCKY

Original Issue Date

04/28/2017

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021