JOSEPH W MELLENS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INOPERATIVE

Business

First Name

JOSEPH

Middle

Last Name

MELLENS

Business Name

JOSEPH W MELLENS

Original Issue Date

11/18/2016

Effective Date

07/01/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022