LISA M KUKLA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

KUKLA

Business Name

LISA M KUKLA

Original Issue Date

07/10/2012

Effective Date

04/06/2024

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026