MICHAEL JOHN SCALA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

SCALA

Business Name

MICHAEL JOHN SCALA

Original Issue Date

08/29/2023

Effective Date

08/29/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025