EZEQUIEL MORA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

EZEQUIEL

Last Name

MORA

Business Name

EZEQUIEL MORA

Original Issue Date

09/11/2023

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

SYCAMORE

State

Zip

60178

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026