TEENAMOL JOSEPH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

TEENAMOL

Last Name

JOSEPH

Business Name

TEENAMOL JOSEPH

Original Issue Date

06/15/2023

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026