JERRY CHAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

JERRY

Last Name

CHAN

Business Name

JERRY CHAN

Original Issue Date

04/08/2010

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026