RYAN MAXWELL ANSELMO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

RYAN

Middle

MAXWELL

Last Name

ANSELMO

Business Name

RYAN MAXWELL ANSELMO

Original Issue Date

12/11/2024

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026