JILLIAN B VANDERPOL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

Last Name

VANDERPOL

Business Name

JILLIAN B VANDERPOL

Original Issue Date

08/03/2021

Effective Date

08/03/2021

Expiration Date

08/31/2022

City

RIVER FOREST

State

Zip

60305

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022