IREEN POQUIZ EVANGELISTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

IREEN

Middle

POQUIZ

Last Name

EVANGELISTA

Business Name

IREEN POQUIZ EVANGELISTA

Original Issue Date

07/21/2016

Effective Date

05/19/2024

Expiration Date

05/31/2026

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026