ANNETTE FONTANEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

INACTIVE

Business

First Name

ANNETTE

Last Name

FONTANEZ

Business Name

ANNETTE FONTANEZ

Original Issue Date

03/18/2019

Effective Date

03/28/2024

Expiration Date

05/31/2026

City

NILES

State

Zip

60714

County

COOK

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/28/2024