MARY C STASAITIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

STASAITIS

Business Name

MARY C STASAITIS

Original Issue Date

06/10/2024

Effective Date

06/10/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026