MARY M ATHA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

MARY M

Last Name

ATHA

Business Name

MARY M ATHA

Original Issue Date

01/02/2004

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

GLENVIEW

State

Zip

60026

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/05/2026