MELYSSA VAN DER STUYF 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

MELYSSA

Last Name

VAN DER STUYF

Business Name

MELYSSA VAN DER STUYF

Original Issue Date

01/18/2017

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026