MARY JENNELLE D GUEVARA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

INACTIVE

Business

First Name

MARY JENNELLE

Middle

Last Name

GUEVARA

Business Name

MARY JENNELLE D GUEVARA

Original Issue Date

07/10/2013

Effective Date

08/15/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60641

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023