ANGEL CUSTODIO HERNANDEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013700

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60625

Ever Disciplined

LastModifiedDate

03/02/2026