SANDRA L MIKULICH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

ACTIVE

Business

First Name

SANDRA L

Last Name

MIKULICH

Business Name

SANDRA L MIKULICH

Original Issue Date

11/12/2008

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026