ANGELA M MARTINEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

MARTINEZ

Business Name

ANGELA M MARTINEZ

Original Issue Date

08/24/2019

Effective Date

10/29/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60607

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022