JEAN GEO ATHAPPILLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

JEAN

Middle

GEO

Last Name

ATHAPPILLY

Business Name

JEAN GEO ATHAPPILLY

Original Issue Date

08/22/2022

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026