DIANA SANDOVAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

DIANA

Last Name

SANDOVAL

Business Name

DIANA SANDOVAL

Original Issue Date

08/05/2025

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026