ADELWISA CACAYAN AVE - Advanced Practice Nurse License in Illinois | # 209019129

ADELWISA CACAYAN AVE

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019129

License Status

INACTIVE

Business

N

First Name

ADELWISA

Middle

CACAYAN

Last Name

AVE

Business Name

ADELWISA CACAYAN AVE

Original Issue Date

03/25/2019

Effective Date

08/29/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

03/03/2024