MELISSA RITZMAN THEODORE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

INACTIVE

Business

First Name

MELISSA

Middle

RITZMAN

Last Name

THEODORE

Business Name

MELISSA RITZMAN THEODORE

Original Issue Date

05/25/2011

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60070

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2018