ANDREW CLAVIJO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

CLAVIJO

Business Name

ANDREW CLAVIJO

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026