LEILANI GRUEZO LUELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

LEILANI

Middle

GRUEZO

Last Name

LUELL

Business Name

LEILANI GRUEZO LUELL

Original Issue Date

03/08/2019

Effective Date

03/08/2019

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021