THERESA M HERNANDEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

HERNANDEZ

Business Name

THERESA M HERNANDEZ

Original Issue Date

09/14/2006

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021