LIZAMMA MATHEW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

LIZAMMA

Last Name

MATHEW

Business Name

LIZAMMA MATHEW

Original Issue Date

08/24/2004

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/04/2026