MARY E WATERLOO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

WATERLOO

Business Name

MARY E WATERLOO

Original Issue Date

12/04/2020

Effective Date

05/31/2022

Expiration Date

06/30/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025