MARLENE ANGELICO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

MARLENE

Last Name

ANGELICO

Business Name

MARLENE ANGELICO

Original Issue Date

05/14/2002

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2020