MICHAEL EDWARD FANELLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

FANELLI

Business Name

MICHAEL EDWARD FANELLI

Original Issue Date

10/24/2020

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60609

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026