ALTROVISE M MARTIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

ALTROVISE

Middle

Last Name

MARTIN

Business Name

ALTROVISE M MARTIN

Original Issue Date

08/21/2023

Effective Date

05/11/2024

Expiration Date

05/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026