ANNA MARIA MELLGREN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

MARIA

Last Name

MELLGREN

Business Name

ANNA MARIA MELLGREN

Original Issue Date

03/07/2019

Effective Date

03/07/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021