BRANDI ITHAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

BRANDI

Last Name

ITHAL

Business Name

BRANDI ITHAL

Original Issue Date

07/13/2021

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

OAK PARK

State

Zip

60304

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026