CAMILLE FREDERICA HAYNES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

FREDERICA

Last Name

HAYNES

Business Name

CAMILLE FREDERICA HAYNES

Original Issue Date

09/14/2023

Effective Date

05/11/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60602

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026