SIMI JESTO JOSEPH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

INACTIVE

Business

First Name

SIMI

Middle

JESTO

Last Name

JOSEPH

Business Name

SIMI JESTO JOSEPH

Original Issue Date

10/08/2008

Effective Date

08/13/2020

Expiration Date

05/31/2022

City

MORTON GROVE

State

Zip

60053

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2020