JASSEENA B VELIYATHUMALIL 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

JASSEENA

Middle

Last Name

VELIYATHUMALIL

Business Name

JASSEENA B VELIYATHUMALIL

Original Issue Date

01/09/2013

Effective Date

03/23/2024

Expiration Date

05/31/2026

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026