ASHLEY RENAE FAJARDO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

RENAE

Last Name

FAJARDO

Business Name

ASHLEY RENAE FAJARDO

Original Issue Date

05/18/2018

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021