GABRIELA FLOWER FUDALEJ 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

GABRIELA

Middle

FLOWER

Last Name

FUDALEJ

Business Name

GABRIELA FLOWER FUDALEJ

Original Issue Date

01/13/2021

Effective Date

01/13/2021

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60652

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022