LISA MARIE TREVINO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

TREVINO

Business Name

LISA MARIE TREVINO

Original Issue Date

02/21/2020

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

TINLEY PARK

State

Zip

60487

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/15/2024