MARIA AGNES A PEREZ 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

MARIA AGNES

Middle

Last Name

PEREZ

Business Name

MARIA AGNES A PEREZ

Original Issue Date

11/14/2016

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

GLENWOOD

State

Zip

60425

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026