ELLEN M CHIOCCA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

CHIOCCA

Business Name

ELLEN M CHIOCCA

Original Issue Date

07/26/2001

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2016