ANGELA Y MARTIN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INOPERATIVE

Business

First Name

ANGELA

Middle

Last Name

MARTIN

Business Name

ANGELA Y MARTIN

Original Issue Date

07/17/2024

Effective Date

07/17/2024

Expiration Date

05/31/2026

City

PARK FOREST

State

Zip

60466

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/27/2023