License Directory

Lonnie Polkow Moch

Expired

Illinois license 30*****97

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
30*****97
Status
Expired (Not Renewed)
First issued
March 6, 2019
Expired
September 30, 2020
License holder
Lonnie Polkow Moch
Entity type
Individual

Classifications

  • Adv Practice Nurse Control Sub Nursing

More from the license record

Delegated controlled substance schedules
II III IV V
Current term began
03/06/2019

Other Illinois licenses under this name

  • IL
    Lonnie Polkow Moch
    License 041476481
    Registered Professional Nurse (Nursing Board)
    Expired
    Wentzville, MO
    Expired Jun 30, 2024
  • IL
    Lonnie Polkow Moch
    License 209018937
    Advanced Practice Registered Nurse
    Expired
    Wentzville, MO
    Expired Jun 30, 2024

Contact

O Fallon, IL 62269
Saint Clair County