JOCELYN W MALLARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

JOCELYN

Middle

Last Name

MALLARD

Business Name

JOCELYN W MALLARD

Original Issue Date

06/05/2018

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026