ERIC LEWIS MARTINEZ 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

ERIC

Middle

LEWIS

Last Name

MARTINEZ

Business Name

ERIC LEWIS MARTINEZ

Original Issue Date

07/21/2016

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026