DANIEL CEBALLOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

DANIEL

Last Name

CEBALLOS

Business Name

DANIEL CEBALLOS

Original Issue Date

10/17/2006

Effective Date

04/21/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/21/2020