GRACYKUTTY T SEBASTIAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

GRACYKUTTY T

Last Name

SEBASTIAN

Business Name

GRACYKUTTY T SEBASTIAN

Original Issue Date

02/16/2011

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026