MARY C VERCELLINO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

VERCELLINO

Business Name

MARY C VERCELLINO

Original Issue Date

02/27/2012

Effective Date

05/24/2022

Expiration Date

06/30/2024

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025