MARC JERWIN ALCANTARA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

MARC

Middle

JERWIN

Last Name

ALCANTARA

Business Name

MARC JERWIN ALCANTARA

Original Issue Date

06/14/2021

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60625

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026