DORIS O FANDOHAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

DORIS

Middle

Last Name

FANDOHAN

Business Name

DORIS O FANDOHAN

Original Issue Date

06/23/2020

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

BLUE ISLAND

State

Zip

60406

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026