AMY L DULMAGE GONZALEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

DULMAGE GONZALEZ

Business Name

AMY L DULMAGE GONZALEZ

Original Issue Date

09/07/2022

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

NILES

State

Zip

60714

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2024