ANN ROWENA R MANALANG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

INACTIVE

Business

First Name

ANN ROWENA

Middle

Last Name

MANALANG

Business Name

ANN ROWENA R MANALANG

Original Issue Date

10/29/2013

Effective Date

08/31/2020

Expiration Date

08/31/2022

City

BOLINGBROOK

State

Zip

60490

County

WILL

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/31/2022