NICOLE MARIE MIROBALLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

MIROBALLI

Business Name

NICOLE MARIE MIROBALLI

Original Issue Date

07/29/2021

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60431

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026