KANAKO ISHIDA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

KANAKO

Last Name

ISHIDA

Business Name

KANAKO ISHIDA

Original Issue Date

08/09/2019

Effective Date

06/09/2022

Expiration Date

06/30/2024

City

OAK PARK

State

Zip

60302

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2025