EMERALD AMITY ESTACIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

EMERALD

Middle

AMITY

Last Name

ESTACIO

Business Name

EMERALD AMITY ESTACIO

Original Issue Date

08/07/2019

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

KANKAKEE

State

Zip

60901

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026