MARIANNE MULLET Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

NOT RENEWED

Business

First Name

MARIANNE

Last Name

MULLET

Business Name

MARIANNE MULLET

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/10/2007