LICETTE P CUAUTLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

LICETTE

Middle

Last Name

CUAUTLE

Business Name

LICETTE P CUAUTLE

Original Issue Date

01/23/2024

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026