MICHELLE R DORMANEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

DORMANEN

Business Name

MICHELLE R DORMANEN

Original Issue Date

03/04/2019

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026