JUSTIN LOUIE CAMACHO 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

JUSTIN

Middle

LOUIE

Last Name

CAMACHO

Business Name

JUSTIN LOUIE CAMACHO

Original Issue Date

09/19/2025

Effective Date

09/19/2025

Expiration Date

05/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026