LENY V CHACKO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

INACTIVE

Business

First Name

LENY

Middle

Last Name

CHACKO

Business Name

LENY V CHACKO

Original Issue Date

12/15/2015

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2025