JENICE C LOPEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

JENICE

Middle

Last Name

LOPEZ

Business Name

JENICE C LOPEZ

Original Issue Date

06/29/2021

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/02/2026