MAYRA KISCELLUS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

MAYRA

Last Name

KISCELLUS

Business Name

MAYRA KISCELLUS

Original Issue Date

10/27/2022

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026