MARYAM LOPEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

MARYAM

Last Name

LOPEZ

Business Name

MARYAM LOPEZ

Original Issue Date

10/29/2025

Effective Date

10/29/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

OHIO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026