MIRIAM MANRIQUE 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

MIRIAM

Last Name

MANRIQUE

Business Name

MIRIAM MANRIQUE

Original Issue Date

08/12/2024

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

HINSDALE

State

Zip

60521

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026