JILL P PANKUS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

JILL

Middle

Last Name

PANKUS

Business Name

JILL P PANKUS

Original Issue Date

01/18/2005

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018