SOPHAL MARTINEZ Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

INOPERATIVE

Business

First Name

SOPHAL

Last Name

MARTINEZ

Business Name

SOPHAL MARTINEZ

Original Issue Date

10/20/2016

Effective Date

10/20/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018