MARISA MEDINA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

INACTIVE

Business

First Name

MARISA

Last Name

MEDINA

Business Name

MARISA MEDINA

Original Issue Date

04/15/2019

Effective Date

09/09/2020

Expiration Date

05/31/2022

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

09/09/2020