MARIE DEBARTOLO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

MARIE

Last Name

DEBARTOLO

Business Name

MARIE DEBARTOLO

Original Issue Date

08/14/2012

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026