JENNIFER MARIE FANELLI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

FANELLI

Business Name

JENNIFER MARIE FANELLI

Original Issue Date

10/20/2016

Effective Date

06/30/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025