JACQUELINE ELIZABETH TRCKA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

ELIZABETH

Last Name

TRCKA

Business Name

JACQUELINE ELIZABETH TRCKA

Original Issue Date

10/01/2012

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

LA GRANGE

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018