BANESA CHAVEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

BANESA

Last Name

CHAVEZ

Business Name

BANESA CHAVEZ

Original Issue Date

07/25/2025

Effective Date

07/25/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60459

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026