MATEO M BETANZOS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

MATEO

Middle

Last Name

BETANZOS

Business Name

MATEO M BETANZOS

Original Issue Date

09/29/2014

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026