NANCY MALS DOHERTY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INOPERATIVE

Business

First Name

NANCY MALS

Last Name

DOHERTY

Business Name

NANCY MALS DOHERTY

Original Issue Date

10/30/2001

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

DEERFIELD

State

Zip

60015

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/18/2026