MARY ASTOR GOMEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

MARY ASTOR

Last Name

GOMEZ

Business Name

MARY ASTOR GOMEZ

Original Issue Date

06/09/2003

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026