KRYSTINA MARIE CHICKERILLO 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

KRYSTINA

Middle

MARIE

Last Name

CHICKERILLO

Business Name

KRYSTINA MARIE CHICKERILLO

Original Issue Date

01/12/2017

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026