ELI PEREZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

ELI

Last Name

PEREZ

Business Name

ELI PEREZ

Original Issue Date

08/17/2022

Effective Date

06/30/2024

Expiration Date

05/31/2026

City

ROANOKE

State

Zip

61561

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026