NELLI A KHALLAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

NELLI

Middle

Last Name

KHALLAK

Business Name

NELLI A KHALLAK

Original Issue Date

02/02/2015

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026