MARIA DERYLO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INACTIVE

Business

First Name

MARIA

Last Name

DERYLO

Business Name

MARIA DERYLO

Original Issue Date

03/11/2019

Effective Date

03/11/2019

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2019