CLAIRE BALUYOT MATA 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

CLAIRE

Middle

BALUYOT

Last Name

MATA

Business Name

CLAIRE BALUYOT MATA

Original Issue Date

03/08/2023

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026