THERESA A DOLAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

DOLAN

Business Name

THERESA A DOLAN

Original Issue Date

07/23/2015

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

BURBANK

State

Zip

60459

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026