DONNA D VAN DAM 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

DONNA D

Last Name

VAN DAM

Business Name

DONNA D VAN DAM

Original Issue Date

08/02/2001

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026