MONICA C LOPEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

Last Name

LOPEZ

Business Name

MONICA C LOPEZ

Original Issue Date

07/27/2015

Effective Date

06/03/2018

Expiration Date

09/30/2020

City

GLENDALE HEIGHTS

State

Zip

60139

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021