MARLENA D'AGOSTIN 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

MARLENA

Last Name

D'AGOSTIN

Business Name

MARLENA D'AGOSTIN

Original Issue Date

06/03/2025

Effective Date

06/03/2025

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61103

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026