MARIE ANN G KORALLUS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

MARIE ANN

Middle

Last Name

KORALLUS

Business Name

MARIE ANN G KORALLUS

Original Issue Date

03/06/2020

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026