ANTHONY RONNY MARTIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

RONNY

Last Name

MARTIN

Business Name

ANTHONY RONNY MARTIN

Original Issue Date

08/09/2024

Effective Date

08/09/2024

Expiration Date

05/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026