MARIA DERYLO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

INACTIVE

Business

First Name

MARIA

Last Name

DERYLO

Business Name

MARIA DERYLO

Original Issue Date

03/21/2016

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

NORTHBROOK IL

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2018