AUDREY LEE MASCITTI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

INACTIVE

Business

First Name

AUDREY

Middle

LEE

Last Name

MASCITTI

Business Name

AUDREY LEE MASCITTI

Original Issue Date

05/14/2019

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024