ANNETTE HALEMEYER MATA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

ANNETTE HALEMEYER

Last Name

MATA

Business Name

ANNETTE HALEMEYER MATA

Original Issue Date

08/30/2016

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60615

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026