REX F RIZALDO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

REX

Middle

Last Name

RIZALDO

Business Name

REX F RIZALDO

Original Issue Date

01/24/2023

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026