SALLY GRACE D SALAZAR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

SALLY GRACE

Middle

Last Name

SALAZAR

Business Name

SALLY GRACE D SALAZAR

Original Issue Date

06/14/2023

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

BOLINGBROOK

State

Zip

60490

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026