MIRIAM RODRIGUEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

NOT RENEWED

Business

First Name

MIRIAM

Last Name

RODRIGUEZ

Business Name

MIRIAM RODRIGUEZ

Original Issue Date

03/22/2019

Effective Date

03/22/2019

Expiration Date

09/30/2020

City

ZION

State

Zip

60099

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021