LOUIS BASAKA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

LOUIS

Last Name

BASAKA

Prefix

Business Name

LOUIS BASAKA

Original Issue Date

10/03/2024

Effective Date

10/03/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026