JILL C MASEMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

MASEMAN

Business Name

JILL C MASEMAN

Original Issue Date

04/27/2020

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022