JUAN P MERCADO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

INACTIVE

Business

First Name

JUAN

Middle

Last Name

MERCADO

Business Name

JUAN P MERCADO

Original Issue Date

08/31/2010

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60652

County

COOK

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/19/2018