LORY J ARQUILLA-MALTBY 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

LORY J

Last Name

ARQUILLA-MALTBY

Business Name

LORY J ARQUILLA-MALTBY

Original Issue Date

12/21/2004

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2018