NATALIA ANITA CHRISTINA HERNANDEZ HIDDEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

NATALIA

Middle

ANITA CHRISTINA HERNANDEZ

Last Name

HIDDEN

Business Name

NATALIA ANITA CHRISTINA HERNANDEZ HIDDEN

Original Issue Date

08/30/2017

Effective Date

06/16/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022