J MICHAEL CRULCICH Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INOPERATIVE

Business

First Name

Middle

MICHAEL

Last Name

CRULCICH

Business Name

J MICHAEL CRULCICH

Original Issue Date

07/07/2016

Effective Date

08/24/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022