JENNIFER BARBARA MAZZULLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

BARBARA

Last Name

MAZZULLI

Business Name

JENNIFER BARBARA MAZZULLI

Original Issue Date

02/01/2018

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026