MICHELLE MARIE DONOVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

DONOVAN

Business Name

MICHELLE MARIE DONOVAN

Original Issue Date

09/29/2021

Effective Date

07/15/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60610

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025