GINA M FERNANDO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

GINA

Middle

Last Name

FERNANDO

Business Name

GINA M FERNANDO

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

08/31/2022

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

08/19/2025