CECILIA BERUMEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

INACTIVE

Business

First Name

CECILIA

Last Name

BERUMEN

Business Name

CECILIA BERUMEN

Original Issue Date

06/12/2018

Effective Date

06/12/2018

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60174

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2018