IVORY S RODRIGUEZ 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

IVORY

Middle

Last Name

RODRIGUEZ

Business Name

IVORY S RODRIGUEZ

Original Issue Date

08/15/2024

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

MORTON GROVE

State

Zip

60053

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/14/2026