RON KYLE MEDINA 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

RON

Middle

KYLE

Last Name

MEDINA

Business Name

RON KYLE MEDINA

Original Issue Date

03/23/2023

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026