ANNE BIJUMON LUCKOSE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

INACTIVE

Business

First Name

ANNE

Middle

BIJUMON

Last Name

LUCKOSE

Business Name

ANNE BIJUMON LUCKOSE

Original Issue Date

03/16/2010

Effective Date

06/22/2022

Expiration Date

05/31/2024

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2022