ELIZABETH A KISLOV Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

KISLOV

Business Name

ELIZABETH A KISLOV

Original Issue Date

12/09/2021

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026