RAFAEL SUELLO PLENOS III Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INACTIVE

Business

First Name

RAFAEL

Middle

SUELLO

Last Name

PLENOS

Suffix

III

Business Name

RAFAEL SUELLO PLENOS III

Original Issue Date

12/14/2020

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

04/03/2025