DOMINIQUE M EAVES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

Last Name

EAVES

Business Name

DOMINIQUE M EAVES

Original Issue Date

06/20/2018

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026