MASHA ADELLE MASLENNIKOV Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

MASHA

Middle

ADELLE

Last Name

MASLENNIKOV

Business Name

MASHA ADELLE MASLENNIKOV

Original Issue Date

03/28/2019

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026