DONNA L COX RODRIGUEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

COX RODRIGUEZ

Business Name

DONNA L COX RODRIGUEZ

Original Issue Date

03/07/2016

Effective Date

05/06/2018

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021