JASON ROBERT MELNUK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

JASON

Middle

ROBERT

Last Name

MELNUK

Business Name

JASON ROBERT MELNUK

Original Issue Date

05/12/2021

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026