CARLEEN KAUCKY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INACTIVE

Business

First Name

CARLEEN

Last Name

KAUCKY

Business Name

CARLEEN KAUCKY

Original Issue Date

10/09/2019

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

LOCKPORT

State

Zip

60441

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2025