KATHLEEN ANN MASELLA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

KATHLEEN ANN

Last Name

MASELLA

Business Name

KATHLEEN ANN MASELLA

Original Issue Date

03/03/2017

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026