GREZELRO R GONZALES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

GREZELRO

Middle

Last Name

GONZALES

Business Name

GREZELRO R GONZALES

Original Issue Date

08/31/2015

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026