JOLLY P MACWAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INACTIVE

Business

First Name

JOLLY

Middle

Last Name

MACWAN

Business Name

JOLLY P MACWAN

Original Issue Date

07/14/2023

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

ALGONQUIN

State

Zip

60102

Ever Disciplined

LastModifiedDate

01/24/2026