JORGE DOMINGUEZ 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

JORGE

Last Name

DOMINGUEZ

Business Name

JORGE DOMINGUEZ

Original Issue Date

05/20/2025

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

NAPERVILLE

State

Zip

60563

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026