RAIDEN LOPEZ CARRILLO *
License Number: APRN9418218
Data As Of 5/5/2024
| Profession | Advanced Practice Registered Nurse |
|---|---|
| License | APRN9418218 |
| License Status | CLEAR/Active |
| Qualifications | Certified Registered Nurse Anesthetist |
| License Expiration Date | 4/30/2025 |
| License Original Issue Date | 05/21/2016 |
| Address of Record | 2190 SW 139 CT |
| MIAMI, FL 33175 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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