MARISSA DE LA PAZ AMAYA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

MARISSA

Middle

DE LA PAZ

Last Name

AMAYA

Business Name

MARISSA DE LA PAZ AMAYA

Original Issue Date

10/31/2012

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

SCHAUMBURG

State

Zip

60173

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2025