MARY CARROLL 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

MARY

Last Name

CARROLL

Business Name

MARY CARROLL

Original Issue Date

08/14/2024

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026