MAE GRACE P MENDOZA 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

MAE GRACE

Middle

Last Name

MENDOZA

Business Name

MAE GRACE P MENDOZA

Original Issue Date

10/31/2016

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026