ANNIE KLUCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

NOT RENEWED

Business

First Name

ANNIE

Last Name

KLUCH

Business Name

ANNIE KLUCH

Original Issue Date

06/05/2021

Effective Date

06/05/2021

Expiration Date

08/31/2022

City

YORKVILLE

State

Zip

60560

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022