JASON J RUSOFF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

RUSOFF

Business Name

JASON J RUSOFF

Original Issue Date

02/26/2016

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022