GODWIN ROY FLORES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

GODWIN

Middle

ROY

Last Name

FLORES

Business Name

GODWIN ROY FLORES

Original Issue Date

09/26/2019

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026