LISA M MAILLIARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

LISA M

Last Name

MAILLIARD

Business Name

LISA M MAILLIARD

Original Issue Date

06/27/2001

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026