CONSUELO FUENTES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

CONSUELO

Last Name

FUENTES

Business Name

CONSUELO FUENTES

Original Issue Date

10/19/2011

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60646

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026