BEENA V LOPEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

BEENA

Middle

Last Name

LOPEZ

Business Name

BEENA V LOPEZ

Original Issue Date

10/08/2022

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/12/2024