MARIAELENA J FAGADORE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

INACTIVE

Business

First Name

MARIAELENA J

Last Name

FAGADORE

Business Name

MARIAELENA J FAGADORE

Original Issue Date

12/16/2016

Effective Date

07/07/2022

Expiration Date

05/31/2024

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023