MIRANDA V DE LOOF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

Last Name

DE LOOF

Business Name

MIRANDA V DE LOOF

Original Issue Date

05/12/2014

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026