WENCHITA D ALFORQUE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

WENCHITA D

Last Name

ALFORQUE

Business Name

WENCHITA D ALFORQUE

Original Issue Date

07/01/2010

Effective Date

05/12/2020

Expiration Date

08/31/2022

City

ALAMEDA

State

Zip

94501

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022