JENNA MICHELE MARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

JENNA

Middle

MICHELE

Last Name

MARK

Business Name

JENNA MICHELE MARK

Original Issue Date

08/28/2020

Effective Date

06/24/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026