MARY JANE EVANGELISTA 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

MARY JANE

Last Name

EVANGELISTA

Business Name

MARY JANE EVANGELISTA

Original Issue Date

07/17/2023

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026