JALLWA M ODEH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

JALLWA

Middle

Last Name

ODEH

Business Name

JALLWA M ODEH

Original Issue Date

03/06/2017

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026