PENNY DALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

ACTIVE

Business

First Name

PENNY

Last Name

DALE

Business Name

PENNY DALE

Original Issue Date

11/12/2022

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026