ANGEL CUSTODIO HERNANDEZ - Advanced Practice Nurse License in Illinois | # 209013700

ANGEL CUSTODIO HERNANDEZ

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013700

License Status

ACTIVE

Business

N

First Name

ANGEL

Middle

CUSTODIO

Last Name

HERNANDEZ

Business Name

ANGEL CUSTODIO HERNANDEZ

Original Issue Date

12/15/2015

Effective Date

05/09/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026