OMAR ADAN ACEVIZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

OMAR

Middle

ADAN

Last Name

ACEVIZ

Business Name

OMAR ADAN ACEVIZ

Original Issue Date

08/30/2023

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

EAST MOLINE

State

Zip

61244

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026