NATALIE THERIAULT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

NATALIE

Last Name

THERIAULT

Business Name

NATALIE THERIAULT

Original Issue Date

12/02/2015

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026