SUSANNA J AVILES 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

SUSANNA

Middle

Last Name

AVILES

Business Name

SUSANNA J AVILES

Original Issue Date

05/29/2024

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026