ANGELICA J LOPEZ RODRIGUEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

ANGELICA

Middle

Last Name

LOPEZ RODRIGUEZ

Business Name

ANGELICA J LOPEZ RODRIGUEZ

Original Issue Date

07/28/2023

Effective Date

07/28/2023

Expiration Date

06/30/2024

City

MORRISON

State

Zip

61270

County

WHITESIDE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025