MARSHA A RODRIGUEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

MARSHA

Middle

Last Name

RODRIGUEZ

Business Name

MARSHA A RODRIGUEZ

Original Issue Date

12/06/2022

Effective Date

05/27/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026