ERIC A PEREZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

PEREZ

Business Name

ERIC A PEREZ

Original Issue Date

10/10/2024

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026