LUCI M SABALA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

LUCI

Middle

Last Name

SABALA

Business Name

LUCI M SABALA

Original Issue Date

08/25/2005

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60567

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021