LALAH PATRICIA IACOBUCCI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

LALAH

Middle

PATRICIA

Last Name

IACOBUCCI

Business Name

LALAH PATRICIA IACOBUCCI

Original Issue Date

12/15/2014

Effective Date

05/17/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018