FERNANDO VELASQUEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

FERNANDO

Last Name

VELASQUEZ

Business Name

FERNANDO VELASQUEZ

Original Issue Date

02/14/2017

Effective Date

05/06/2018

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021