CARLI E IMMORDINO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

CARLI

Middle

Last Name

IMMORDINO

Business Name

CARLI E IMMORDINO

Original Issue Date

03/27/2023

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026