MERCY J KOLENCHERY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

MERCY

Middle

Last Name

KOLENCHERY

Business Name

MERCY J KOLENCHERY

Original Issue Date

10/26/2012

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026