CAROL M LESKO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

LESKO

Business Name

CAROL M LESKO

Original Issue Date

12/13/2018

Effective Date

12/13/2018

Expiration Date

09/30/2020

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021