JENNIFER K VITALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

JENNIFER K

Last Name

VITALE

Business Name

JENNIFER K VITALE

Original Issue Date

04/22/2015

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026