ELVIRA FE BAQU BRAVO 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

ELVIRA FE

Middle

BAQU

Last Name

BRAVO

Business Name

ELVIRA FE BAQU BRAVO

Original Issue Date

01/26/2026

Effective Date

01/26/2026

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026