MARISA J FOSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

MARISA

Middle

Last Name

FOSS

Business Name

MARISA J FOSS

Original Issue Date

06/29/2007

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60707

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026