JOLYN M KOWALLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

JOLYN M

Last Name

KOWALLIS

Business Name

JOLYN M KOWALLIS

Original Issue Date

05/13/2010

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026