JEANETTE ANN BACCI 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

JEANETTE

Middle

ANN

Last Name

BACCI

Business Name

JEANETTE ANN BACCI

BusinessDBA

MANTO

Original Issue Date

01/12/2021

Effective Date

01/12/2021

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60603

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022