TEKEKEE D BUCKNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

INACTIVE

Business

First Name

TEKEKEE

Middle

Last Name

BUCKNER

Business Name

TEKEKEE D BUCKNER

Original Issue Date

10/27/2011

Effective Date

06/15/2020

Expiration Date

05/31/2022

City

PLAINFIELD

State

Zip

60544

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2020