JOLLY P MACWAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026572

License Status

INACTIVE

Business

First Name

JOLLY

Middle

Last Name

MACWAN

Business Name

JOLLY P MACWAN

Original Issue Date

12/14/2022

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/24/2026