SELINA MARIE RODRIGUEZ 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

SELINA

Middle

MARIE

Last Name

RODRIGUEZ

Business Name

SELINA MARIE RODRIGUEZ

Original Issue Date

09/23/2021

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026