BEENA V LOPEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

BEENA

Middle

Last Name

LOPEZ

Business Name

BEENA V LOPEZ

Original Issue Date

07/16/2020

Effective Date

07/30/2022

Expiration Date

05/31/2024

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024