CAROLYN MARIE MACIAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

MARIE

Last Name

MACIAS

Business Name

CAROLYN MARIE MACIAS

Original Issue Date

10/29/2022

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026