LISA L NUCCIO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

NUCCIO

Business Name

LISA L NUCCIO

Original Issue Date

08/20/2022

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2025