MEJO J VAYALIL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

MEJO

Middle

Last Name

VAYALIL

Business Name

MEJO J VAYALIL

Original Issue Date

02/08/2019

Effective Date

04/21/2024

Expiration Date

05/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026