FADERIN Y BOTI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

FADERIN

Middle

Last Name

BOTI

Business Name

FADERIN Y BOTI

Original Issue Date

02/01/2021

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026