MARISA REYES Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

MARISA

Last Name

REYES

Business Name

MARISA REYES

Original Issue Date

11/04/2019

Effective Date

06/15/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60638

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2022