MARIELLEN P ANTMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005116

License Status

ACTIVE

Business

First Name

MARIELLEN

Middle

Last Name

ANTMAN

Business Name

MARIELLEN P ANTMAN

Original Issue Date

05/20/2004

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

03/06/2026