DIANA SANDOVAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

DIANA

Last Name

SANDOVAL

Business Name

DIANA SANDOVAL

Original Issue Date

08/29/2022

Effective Date

06/10/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026