JOLLY P MACWAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

JOLLY

Middle

Last Name

MACWAN

Business Name

JOLLY P MACWAN

Original Issue Date

04/08/2023

Effective Date

04/08/2023

Expiration Date

06/30/2024

City

SCHAUMBURG

State

Zip

60173

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025