CARRIE LYNN CHAVEZ 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

CARRIE

Middle

LYNN

Last Name

CHAVEZ

Business Name

CARRIE LYNN CHAVEZ

Original Issue Date

05/18/2010

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026