FERDINAND P CATOTAL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INACTIVE

Business

First Name

FERDINAND

Middle

Last Name

CATOTAL

Business Name

FERDINAND P CATOTAL

Original Issue Date

07/27/2017

Effective Date

05/15/2020

Expiration Date

05/31/2022

City

ELGIN

State

Zip

60120

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2020