SUSELY D GUEVARA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

SUSELY

Middle

Last Name

GUEVARA

Business Name

SUSELY D GUEVARA

Original Issue Date

10/16/2020

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026