JAY DECLARADOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

JAY

Last Name

DECLARADOR

Business Name

JAY DECLARADOR

Original Issue Date

12/29/2017

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026