FAYE GANDEZA IBANEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

FAYE

Last Name

GANDEZA IBANEZ

Business Name

FAYE GANDEZA IBANEZ

Original Issue Date

11/05/2018

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026