SHAYLICE MICHELLE MESEROLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

SHAYLICE

Middle

MICHELLE

Last Name

MESEROLE

Business Name

SHAYLICE MICHELLE MESEROLE

Original Issue Date

09/11/2019

Effective Date

05/26/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60607

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022