GRACE DIVINA C ESMALLA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

GRACE DIVINA

Middle

Last Name

ESMALLA

Business Name

GRACE DIVINA C ESMALLA

Original Issue Date

10/14/2022

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026