MELBA MERCEDES HABERLAND Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

INACTIVE

Business

First Name

MELBA

Middle

MERCEDES

Last Name

HABERLAND

Business Name

MELBA MERCEDES HABERLAND

Original Issue Date

07/25/2013

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Delegated Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/06/2024