ADELWISA CACAYAN AVE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

ADELWISA

Middle

CACAYAN

Last Name

AVE

Business Name

ADELWISA CACAYAN AVE

Original Issue Date

09/28/2019

Effective Date

08/29/2022

Expiration Date

06/30/2024

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025