SANDRA E DOMINGUEZ 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

SANDRA

Middle

Last Name

DOMINGUEZ

Business Name

SANDRA E DOMINGUEZ

Original Issue Date

01/31/2022

Effective Date

04/27/2024

Expiration Date

05/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026