ELAMMA DOMINIC CHOLLAMPEL 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

ELAMMA

Middle

DOMINIC

Last Name

CHOLLAMPEL

Business Name

ELAMMA DOMINIC CHOLLAMPEL

Original Issue Date

10/08/2014

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026