ALTAGRACIA JANE CERVANTES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

ALTAGRACIA

Middle

JANE

Last Name

CERVANTES

Business Name

ALTAGRACIA JANE CERVANTES

Original Issue Date

10/26/2023

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026