GEBREYESUS T HIDAD 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

GEBREYESUS

Middle

Last Name

HIDAD

Business Name

GEBREYESUS T HIDAD

Original Issue Date

08/16/2024

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026