CLARISA P MEDINA-POELINIZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

CLARISA

Middle

Last Name

MEDINA-POELINIZ

Business Name

CLARISA P MEDINA-POELINIZ

Original Issue Date

03/06/2012

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60608

County

OGLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026