DANIELLE P POULOS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

Last Name

POULOS

Business Name

DANIELLE P POULOS

Original Issue Date

08/31/2023

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026