THOMAS PANICUCCI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

THOMAS

Last Name

PANICUCCI

Business Name

THOMAS PANICUCCI

Original Issue Date

11/10/2020

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026