BRIGID M MARIETTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

ACTIVE

Business

First Name

BRIGID

Middle

Last Name

MARIETTA

Business Name

BRIGID M MARIETTA

Original Issue Date

11/25/2019

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026