RODNEY JOSEPH PENA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

RODNEY

Middle

JOSEPH

Last Name

PENA

Business Name

RODNEY JOSEPH PENA

Original Issue Date

02/10/2021

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026