TRACI E PUK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

TRACI

Middle

Last Name

PUK

Business Name

TRACI E PUK

Original Issue Date

10/19/2023

Effective Date

03/22/2026

Expiration Date

05/31/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/22/2026